JOHN DALE CARLSON

CRESTVIEW, FL
NPI1932131596
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: FL  me0051484)
Enumeration Date2006-07-06
Last Update Date2007-07-09
Business Address
Mr. JOHN DALE CARLSON md
492 N WILSON ST
CRESTVIEW, FL 32536-3442
Phone number: 850-682-5332
Mailing Address
Mr. JOHN DALE CARLSON md
205 W PINE AVE
CRESTVIEW, FL 32536-3423
Phone number: 850-682-5332
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