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Individual

MRS. CAROLE MAGNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
701 SW 54TH AVE, PLANTATION, FL 33317-4339
(954) 791-7129
(305) 756-5838
Mailing address
701 SW 54TH AVE, PLANTATION, FL 33317-4339
(954) 791-7129
(305) 756-5838

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/24/2007
Last updated
09/24/2007
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