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Individual

COREY DUTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 505-6363
Mailing address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 505-6363

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA22312
FL

Other

Enumeration date
05/19/2022
Last updated
02/23/2024
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