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ROBERT DALE DUNLAP

>> Durable Medical Equipment & Medical Supplies >> Suppliers

Registrant NPI Number: 1225387467

Individual Registrant:
 ROBERT DALE DUNLAP 
Gender: M
Sole Proprietor

Location and contact information for practice:
216 HOUSTON AVE SW  LIVE OAK, FL 32064-2207 US
Tel: 386-249-3140  Fax: 386-362-1814

Contact information for business:
216 HOUSTON AVE SW  LIVE OAK, FL 32064-2207 US
Tel: 386-249-3140  Fax: 386-362-1814

Registration Information:
NPI: 1225387467
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y332B00000XSuppliers
Durable Medical Equipment & Medical Supplies

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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