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Individual

MRS. TARSHA P MCGLOCKING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22 PRINCESS LUISE LANE, PALM COAST, FL 32164
(386) 627-5921
(866) 728-3578
Mailing address
22 PRINCESS LUISE LN, PALM COAST, FL 32164-7123
(386) 627-5921
(866) 728-3578

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
234626
FL

Other

Enumeration date
07/12/2017
Last updated
07/21/2022
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