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MARY JANE FISH RN

Community Health >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1649370594

Individual Registrant:
 MARY JANE FISH RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1215 N PEACOCK AVE  PERRY, FL 32347-2117 US
Tel: 850-584-5087  Fax: 850-584-8653

Contact information for business:
1215 N PEACOCK AVE  PERRY, FL 32347-2117 US
Tel: 850-584-5087  Fax: 850-584-8653

Registration Information:
NPI: 1649370594
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC1500XNursing Service Providers
Registered Nurse
Community Health
FLRN3201812

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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