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1083764039
BAMBI LYNN WADELTON
PONTE VEDRA BEACH, FL
NPI
1083764039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY5636)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
-- BAMBI LYNN WADELTON PlhD
13000 SAWGRASS VILLAGE CIR SUITE 46
PONTE VEDRA BEACH, FL 32082-5016
Phone number: 904-280-8555
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Mailing Address
-- BAMBI LYNN WADELTON PlhD
13000 SAWGRASS VILLAGE CIR SUITE 46
PONTE VEDRA BEACH, FL 32082-5016
Phone number: 904-280-8555
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