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Individual

EDDRENA THORNTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OWNER

Contact information

Practice address
2233 BLUEBIRD AVE, BARTOW, FL 33830-2953
(863) 529-3103
Mailing address
2233 BLUEBIRD AVE, BARTOW, FL 33830-2953
(863) 529-3103

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907032
FL

Other

Enumeration date
10/09/2020
Last updated
10/10/2020
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