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Individual

LIBBIE DENISE FLETCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1249 STRONG RD, QUINCY, FL 32351-5248
(850) 875-9502
(850) 627-2786
Mailing address
2804 REMINGTON GREEN CIR STE 2, TALLAHASSEE, FL 32308-1550
(850) 385-4494

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7761
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124Q00000X
FL
05
7761
FL
Enumeration date
02/16/2021
Last updated
02/26/2021
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