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1043596091
NORTHWEST FLORIDA DIABETES & NUTRITION CENTER, LLC
CRESTVIEW, FL
NPI
1043596091
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Entity Type
Organization
Authorized Contact
PATRICIA ANN FLETCHER
Mgrm
850-482-1830
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2011-10-21
Last Update Date
2014-01-11
Business Address
NORTHWEST FLORIDA DIABETES & NUTRITION CENTER, LLC
120 W WOODRUFF AVE
CRESTVIEW, FL 32536-3527
Phone number: 850-482-1830
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Mailing Address
NORTHWEST FLORIDA DIABETES & NUTRITION CENTER, LLC
PO BOX 1854
CRESTVIEW, FL 32536-7854
Phone number: 850-482-1830
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