Provider Information for 1730640640
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CHRISTIE WASHER
Sex: Female
NPI: 1730640640
Last Updated: 2019-03-26
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1730640640 | ||||||||
| Enumeration Date | 2019-03-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4300 SW 13TH ST GAINESVILLE, FL 32608-4006 United States Phone: 352-374-5600 | Fax: | ||||||||
| Primary Practice Address | 4300 SW 13TH ST GAINESVILLE, FL 32608-4006 United States Phone: 352-374-5600 | Fax: | ||||||||
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