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Individual

MAEGUN STARLETT HUMPHRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPSGT, CCSH

Contact information

Practice address
502 N MACARTHUR AVE STE A, PANAMA CITY, FL 32401-3666
(850) 769-1797
(850) 215-2185
Mailing address
PO BOX 760, LYNN HAVEN, FL 32444-0760
(850) 832-8945

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
2974
FL
246Z00000X
Other Specialist/Technologist
Primary
FL

Other

Enumeration date
02/26/2026
Last updated
04/20/2026
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