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Organization

DEPT OF VETERANS AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAMELA DUGLE (NURSE MANAGER)
(352) 376-1611
Entity
Organization

Contact information

Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
24624 NW 25TH PLACE, NEWBERRY, FL 32669
(352) 472-2123

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
342662-1
NY

Other

Enumeration date
01/14/2008
Last updated
01/14/2008
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