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Organization
NORMA L. GARY
Active
Organization
NORMA L. GARY
Active
Other names
Lingerie Boutique by Norma
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORMA LORRAINE GARY ABC CERTIFICATION (OWNER/CERTIFIED MASTECTOMY FITTER)
(352) 347-7855
Entity
Organization
Contact information
Practice address
16770 S US 441, STE 601, SUMMERFIELD, FL 34491
(352) 347-7855
(352) 347-7856
Mailing address
16770 S US 441, STE 601, SUMMERFIELD, FL 34491
(352) 347-7855
(352) 347-7856
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
08/09/2006
Last updated
02/21/2008
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