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Individual

LOIS MARGARET DAVIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1560 W EUCLID AVE, DELAND, FL 32720-3623
(386) 736-2047
Mailing address
1560 W EUCLID AVE, DELAND, FL 32720-3623
(386) 736-2047

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
230493700
FL
Enumeration date
05/13/2008
Last updated
01/08/2019
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