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Organization

CYNTHIA'S WIG BOUTIQUE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA P DOUGLAS CFM (OWNER)
(850) 386-9447
Entity
Organization

Contact information

Practice address
1641 MAHAN CENTER BLVD, SUITE 2, TALLAHASSEE, FL 32308-7404
(850) 386-9447
Mailing address
1641 MAHAN CENTER BLVD, SUITE 2, TALLAHASSEE, FL 32308-7404
(850) 386-9447

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/09/2013
Last updated
02/03/2014
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