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Individual

MRS. AMELIA L SUDDUTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
4333 SUGAR MILL BND, PACE, FL 32571-8646
(850) 995-7059
Mailing address
4333 SUGAR MILL BND, PACE, FL 32571-8646
(850) 995-7059

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9267012
FL

Other

Enumeration date
09/01/2010
Last updated
09/01/2010
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