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Individual

JOHN ASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
213 E ORANGE STREET, SUITE B PEACE RIVER CENTER, WAUCHULA, FL 33873
(863) 773-3228
(863) 582-9251
Mailing address
PO BOX 1559, PEACE RIVER CENTER, BARTOW, FL 33831
(863) 519-0575
(863) 519-0728

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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