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Individual

WINSTON DERNARD TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
857 GOLDEN ST, TALLAHASSEE, FL 32304-2473
(850) 666-1804
Mailing address
857 GOLDEN ST, TALLAHASSEE, FL 32304-2473

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
08/26/2019
Last updated
08/26/2019
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