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Individual

WENDIE DURANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
600 EL PASEO, LAKELAND, FL 33805-4521
(863) 519-0575
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
(863) 582-9251

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker

Other

Enumeration date
04/24/2012
Last updated
09/28/2016
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