Individual
MR. REGINALD C DEAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
7119 LANGLEY ST, NAVAL BRANCH HEALTH CLINIC WHITING FIELD, MILTON, FL 32570-6105
(850) 623-7508
Mailing address
7119 LANGLEY ST, NAVAL BRANCH HEALTH CLINIC WHITING FIELD, MILTON, FL 32570-6105
(850) 623-7508
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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