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Organization
STATE OF FLORIDA, DOH, BCHD
Active
Organization
STATE OF FLORIDA, DOH, BCHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN ANN RILEY LD (SENIOR PUBLIC HEALTH NUTRITIONIST)
(850) 872-4666
Entity
Organization
Contact information
Practice address
597 W 11TH ST, PANAMA CITY, FL 32401-2330
(850) 872-4666
Mailing address
597 W 11TH ST, PANAMA CITY, FL 32401-2330
(850) 872-4666
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
ND 3566
FL
Other
Enumeration date
12/19/2006
Last updated
06/25/2008
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