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Organization
PRINCE PROPERTIES
Active
Organization
PRINCE PROPERTIES
Active
Other names
Lice Clinics of America of Emerald Coast
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY J PRINCE (PRESIDENT)
(601) 832-1465
Entity
Organization
Contact information
Practice address
128 EGLIN PKWY SE, FORT WALTON BEACH, FL 32548-5519
(850) 374-1203
Mailing address
128 EGLIN PKWY SE, FORT WALTON BEACH, FL 32548-5519
(850) 374-1203
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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