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1992801393
WANDA HIX BOURNE
GAINESVILLE, FL
NPI
1992801393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL 4901)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
WANDA HIX BOURNE
DEPARTMENT OF VETERANS AFFAIRS 1601 SW ARCHER ROAD
GAINESVILLE, FL 32608
Phone number: 352-376-1611
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Mailing Address
WANDA HIX BOURNE
8809 SW 111TH TER
GAINESVILLE, FL 32608-5861
Phone number:
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