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Individual

DELORIS G BARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5114
(386) 274-0790
(386) 274-0800
Mailing address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5114
(386) 274-0790
(386) 274-0800

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1609182
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033015900
FL
Enumeration date
04/28/2006
Last updated
12/21/2012
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