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Individual

MARSHELL SOLOMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
16029 SE BOYD ST, BLOUNTSTOWN, FL 32424-2531
(850) 447-1720
Mailing address
16029 SE BOYD ST, BLOUNTSTOWN, FL 32424-2531
(850) 447-1720

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5153342
FL

Other

Enumeration date
11/09/2016
Last updated
11/09/2016
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