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MRS. STARR HANCOCK GAINEY

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1861646663

Individual Registrant:
MRS. STARR HANCOCK GAINEY 
Gender: F
Sole Proprietor

Location and contact information for practice:
403 WALKER DR  INTERLACHEN, FL 32148-4370 US
Tel: 386-659-1622  Fax: --

Contact information for business:
403 WALKER DR  INTERLACHEN, FL 32148-4370 US
Tel: 386-659-1622  Fax: --

Registration Information:
NPI: 1861646663
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
FLG500-788-56-510-0

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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