DERRAL BOMAR

LAKE CITY, FL
NPI1912483751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-07-16
Last Update Date2018-07-16
Business Address
DERRAL BOMAR
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 352-374-5600
Mailing Address
DERRAL BOMAR
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number:
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