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Organization
PARACLETE PROSPECTS, LLC
Active
Organization
PARACLETE PROSPECTS, LLC
Active
Other names
The Lighted Path Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DYKES APRN (OWNER)
(850) 849-9939
Entity
Organization
Contact information
Practice address
4215 KELSON AVE STE D, MARIANNA, FL 32446-6555
(850) 317-6378
(850) 308-2153
Mailing address
3804 OLD U S RD, MARIANNA, FL 32446-7963
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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