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Individual

MARY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2546 NE 11TH PL, GAINESVILLE, FL 32641-4886
(352) 301-0681
Mailing address
2546 NE 11TH PL, GAINESVILLE, FL 32641-4886

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
376J00000X
Homemaker
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
04/25/2020
Last updated
04/25/2020
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