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Individual

MS. STEPHANYE HODGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1324 NW 16TH AVE APT 23, GAINESVILLE, FL 32605-4050
(352) 327-6069
Mailing address
1324 NW 16TH AVE APT 23, GAINESVILLE, FL 32605-4050
(352) 327-6069

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
270759
FL

Other

Enumeration date
06/29/2015
Last updated
06/29/2015
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