BRENDA J BATES

LAKE CITY, FL
NPI1013654912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: FL  14857)
Enumeration Date2022-05-13
Last Update Date2022-05-13
Business Address
Mrs. BRENDA J BATES CRDH
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-155-3016
Mailing Address
Mrs. BRENDA J BATES CRDH
PO BOX 739
BRANFORD, FL 32008-0739
Phone number: 386-364-8526
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