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Individual

AMBER NICOLE DOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IDMT

Contact information

Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-2135
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-2135

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
02/02/2011
Last updated
03/02/2011
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