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Individual

JACLYN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10526 SW OTIS WALDEN RD, CLARKSVILLE, FL 32430-2665
(850) 532-3244
Mailing address
10526 SW OTIS WALDEN RD, CLARKSVILLE, FL 32430-2665
(850) 532-3244

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
09/17/2019
Last updated
09/17/2019
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