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Individual

LYNN MARIE MCGILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2475 GARRISON AVE, PORT ST JOE, FL 32456-5265
(850) 227-1276
(850) 227-1766
Mailing address
4173 N HIGHWAY 71, WEWAHITCHKA, FL 32465-3825
(850) 639-9480

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 942601
FL

Other

Enumeration date
03/01/2006
Last updated
07/08/2007
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