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Individual

VANESSA DUGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
800 LAKEWOOD CIR, MERRITT ISLAND, FL 32952-5886
(321) 452-2855
Mailing address
800 LAKEWOOD CIR, MERRITT ISLAND, FL 32952-5886
(321) 452-2855

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
6906586
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007669000
FL
Enumeration date
05/20/2013
Last updated
05/20/2013
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