Provider Information for 1396340592
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ANGELA MARIE PYLES RCSWI
Sex: Female
NPI: 1396340592
Last Updated: 2020-12-03
Certification Date: 2020-12-03
Certification Date: 2020-12-03
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1396340592 | ||||||||
| Enumeration Date | 2020-12-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3049 CLEVELAND AVE STE 165 FORT MYERS, FL 33901-7044 United States Phone: 239-839-3907 | Fax: | ||||||||
| Primary Practice Address | 3049 CLEVELAND AVE UNIT 170 FORT MYERS, FL 33901-7041 United States Phone: 239-839-3907 | Fax:239-936-0114 | ||||||||
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