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Individual

CHRIS DURNIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MACCC-SLP

Contact information

Practice address
3460 LAUREL DR, MOUNT DORA, FL 32757-4604
(352) 385-4764
Mailing address
3460 LAUREL DR, MOUNT DORA, FL 32757-4604
(352) 385-4764

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6753
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
889618600
FL
Enumeration date
09/24/2006
Last updated
07/08/2007
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