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Individual

IVONNE MARGARITA DUTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2643 MAGPIE WAY, SANFORD, FL 32773-7081
(407) 613-0934
Mailing address
2643 MAGPIE WAY, SANFORD, FL 32773-7081

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
PN5223469
FL

Other

Enumeration date
07/01/2022
Last updated
07/01/2022
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