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Individual

MR. SCOTT J DALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 COLUMBIA DR, CAPE CANAVERAL, FL 32920-5127
(321) 799-0449
Mailing address
300 COLUMBIA DR, CAPE CANAVERAL, FL 32920-5127
(321) 799-0449

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/17/2013
Last updated
01/17/2013
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