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Individual

MRS. TAMMY ELAINE MUSGROVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16150 40TH ST, LIVE OAK, FL 32060-8015
(386) 590-6961
(386) 362-5005
Mailing address
16150 40TH ST, LIVE OAK, FL 32060-8015
(386) 590-6961

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
FL

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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