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Individual

MS. LORRAINE A SUGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15343 SE 113TH STREET RD, OCKLAWAHA, FL 32179-5536
(352) 288-3489
(352) 288-3489
Mailing address
15343 SE 113TH STREET RD, OCKLAWAHA, FL 32179-5536
(352) 288-3489
(352) 288-3489

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
690259696
FL

Other

Enumeration date
04/18/2006
Last updated
05/19/2008
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