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Individual

KERRI LYNNE BARONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
341 HOLMES BLVD NW, FORT WALTON BEACH, FL 32548-4150
(850) 301-0635
(850) 301-0653
Mailing address
123 TRUXTON AVE, FORT WALTON BEACH, FL 32547-2460
(850) 863-1530
(850) 862-4589

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
811318100
FL
Enumeration date
01/15/2018
Last updated
01/15/2018
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