Individual
MR. GARY MARION SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED PRAC. NURSE
Contact information
Practice address
1211 W 7TH ST, SANFORD, FL 32771-1715
(786) 222-5935
(407) 330-2693
Mailing address
1211 W 7TH ST, SANFORD, FL 32771-1715
(786) 222-5935
(407) 330-2693
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
750091
FL
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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