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MRS. WENDY D BAGGETT LDO

Optician >> Technician/Technologist >> Eye and Vision Services Providers

Registrant NPI Number: 1508987074

Individual Registrant:
MRS. WENDY D BAGGETT LDO
Gender: F
Sole Proprietor

Location and contact information for practice:
514 S PALM AVE  PALATKA, FL 32177-4148 US
Tel: 386-328-8387  Fax: --

Contact information for business:
130 LATESHA TER  PALATKA, FL 32177-9388 US
Tel: 386-325-0209  Fax: --

Registration Information:
NPI: 1508987074
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y156FX1800XEye and Vision Services Providers
Technician/Technologist
Optician
FLDO4734

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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