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Individual

EBONIE BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
959 SE 8TH ST, GAINESVILLE, FL 32601-8037
(912) 980-2531
Mailing address
959 SE 8TH ST, GAINESVILLE, FL 32601-8037
(912) 980-2531

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
FL
372600000X
Adult Companion
Primary
FL
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
FL
376K00000X
Nurse's Aide

Other

Enumeration date
05/28/2022
Last updated
05/28/2022
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