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Organization

A WOMAN'S PLACE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN SUSAN WILLIAMS ARNP (ARNP/OWNER/PROVIDER)
(352) 493-9393
Entity
Organization

Contact information

Practice address
1415 NW 23RD AVE, CHIEFLAND, FL 32626-1976
(352) 493-9393
(352) 493-9390
Mailing address
PO BOX 58, CHIEFLAND, FL 32644-0058
(352) 493-9393
(352) 493-9390

Taxonomy

Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
ARNP9169564
FL
261QR1300X
Rural Health Clinic/Center
ARNP9169564
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
308581300
FL
Enumeration date
06/02/2010
Last updated
10/21/2010
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