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Individual

JAMES GUY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3183 WOODYMARION DR, CHIPLEY, FL 32428-8431
(850) 258-5856
Mailing address
3183 WOODYMARION DR, CHIPLEY, FL 32428-8431

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
CBC1259210
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
690211196
FL
Enumeration date
06/24/2014
Last updated
06/24/2014
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