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Debra Wickliffe
NPI 1821285446 · on the registry since 2007 · sole proprietor
Practice
- Address
- 134 Nw Olive Gln
Lake City, FL 32055 - Phone
- (386) 965-2770
- Fax
- (386) 754-2770
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida