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Individual

MS. BERNICE CYNTHIA PUTNAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
401 E LANGSNER ST, ENGLEWOOD, FL 34223
(941) 979-6717
Mailing address
401 E LANGSNER ST, ENGLEWOOD, FL 34223
(941) 979-6717

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
FL

Other

Enumeration date
11/09/2016
Last updated
11/09/2016
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