Individual
MS. MARY KATHRYN DUMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1201 SE 24TH RD, OCALA, FL 34471-6009
(352) 732-2449
Mailing address
9744 NOROAD, JACKSONVILLE, FL 32210-9022
(904) 392-0604
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5194805
FL
Other
Enumeration date
11/06/2011
Last updated
11/06/2011
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