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Individual

JODY EDWARDS CHESSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
339 RACETRACK RD NW STE 20, FORT WALTON BEACH, FL 32547-1581
(850) 863-4327
(850) 243-8741
Mailing address
339 RACETRACK RD NW STE 20, FORT WALTON BEACH, FL 32547-1581
(850) 863-4327
(850) 243-8741

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1408
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001802501
FL
Enumeration date
01/26/2010
Last updated
03/15/2013
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