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Individual
MRS. BETTY ANN HERRON
Active
Individual
MRS. BETTY ANN HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER OPERATOR
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
332B00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332B00000X
CNT
FL
Enumeration date
06/17/2008
Last updated
06/17/2008
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