Individual
GWYN PURDUE FELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
2575 HARN BLVD, CLEARWATER, FL 33764-3211
(727) 458-3942
Mailing address
10919 111TH ST, LARGO, FL 33778-4004
(727) 458-3942
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2804
FL
Other
Enumeration date
03/02/2010
Last updated
08/04/2011
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