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Individual

MARJORIE LEE BARNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD MBA

Contact information

Practice address
449 WEST 23RD ST, PANAMA CITY, FL 32405
(850) 769-8341
Mailing address
1901 1ST ST N, APT 305, JACKSONVILLE BEACH, FL 32250-8403
(845) 701-6677

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
155839
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02654391
NY
Enumeration date
07/29/2005
Last updated
12/04/2015
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