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Individual

GARY RICHARD PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5011 NE COUNTY ROAD 1469, HAWTHORNE, FL 32640-9289
(352) 475-1566
(352) 475-5984
Mailing address
5011 NE COUNTY ROAD 1469, HAWTHORNE, FL 32640-9289
(352) 475-1566
(352) 475-5984

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
JF5646
FL

Other

Enumeration date
08/30/2013
Last updated
08/30/2013
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