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Debra Wickliffe
Contractor in Lake City, Florida
NPI 1821285446

Debra Wickliffe is a Contractor based in Lake City, FL. Debra Wickliffe practices in Lake City, FL. The NPI Number for Debra Wickliffe is 1821285446 and holds a License No. 6908802996 (Florida).

The current practice location address for Debra Wickliffe is 134 Nw Olive Gln, Lake City, FL and can be reached out via phone at 386-965-2770 and via fax at 386-754-2770.

Location: 134 Nw Olive Gln, Lake City, FL, 32055-9210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821285446
Provider Name
Debra Wickliffe
Credential
Provider Entity Type
Individual
Gender
Female
Address
134 Nw Olive Gln, Lake City, FL, 32055-9210
Phone Number
386-965-2770
Fax Number
386-754-2770
Provider Enumeration Date
09/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6908802965 05 FL
institution
Provider Business Practice Location Address Details
Address
134 Nw Olive Gln
City
Lake City
State
Florida
Zip
32055-9210
Phone Number
386-965-2770
Fax Number
386-754-2770
person
Provider Business Mailing Address Details
Address
134 Nw Olive Gln
City
Lake City
State
Florida
Zip
32055-9210
Phone Number
386-965-2770
Fax Number
386-754-2770
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
6908802996 (Florida)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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