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Individual

DEBORAH K. BAINBRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2505 SAINT JOHNS AVE, PALATKA, FL 32177-2815
(386) 546-1607
Mailing address
PO BOX 906, EAST PALATKA, FL 32131-0906
(386) 546-1607

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA32503
FL

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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