Provider Information for 1851437883
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Dr. JAMES P FLORENCE LPC
Sex: Male
NPI: 1851437883
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1851437883 | ||||||||||||
Enumeration Date | 2007-01-29 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 407 E MARSHALL AVE LONGVIEW, TX 75601-5423 United States Phone: 903-236-4577 | Fax:903-236-0246 | ||||||||||||
Primary Practice Address | 407 E MARSHALL AVE WILLOW BEND CENTER LONGVIEW, TX 75601-5423 United States Phone: 903-236-4577 | Fax:903-236-0246 | ||||||||||||
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