Wanda Hix Bourne

NPI #1992801393 in Gainesville, Florida

Provider Information

NPI Number: 1992801393
Entity Type: Individual
Name: Wanda Hix Bourne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: DEPARTMENT OF VETERANS AFFAIRS
Address 2: 1601 SW ARCHER ROAD
City: Gainesville
State: Florida
ZIP Code: 32608
Phone: (352) 376-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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