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DEBORAH K. BAINBRIDGE
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1558491670
Individual Registrant: DEBORAH K. BAINBRIDGE
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2505 SAINT JOHNS AVE PALATKA, FL 32177-2815 US
Tel: 386-546-1607 Fax: --
Tel: 386-546-1607 Fax: --
Contact information for business:
PO BOX 906 EAST PALATKA, FL 32131-0906 US
Tel: 386-546-1607 Fax: --
Tel: 386-546-1607 Fax: --
Registration Information:
NPI: 1558491670
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | FL | MA32503 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
