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Individual

PATTI WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
64 N CLEVELAND ST APT 1108, QUINCY, FL 32351-2110
(850) 300-9880
Mailing address
PO BOX 1289, QUINCY, FL 32353-1289

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
FL

Other

Enumeration date
07/11/2017
Last updated
07/11/2017
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