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Individual

MR. BARRY THOMAS TEUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
176 HARRIS RD NE, FORT WALTON BEACH, FL 32547-2515
(850) 833-3872
(850) 833-3873
Mailing address
425 NORTHAMPTON CIR, FORT WALTON BEACH, FL 32547-1471
(850) 314-9574

Taxonomy

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

Other

Enumeration date
01/09/2007
Last updated
07/08/2007
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