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1003225970
STANVONNA SHOOTES
JACKSONVILLE, FL
NPI
1003225970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-08-05
Last Update Date
2014-08-05
Business Address
-- STANVONNA SHOOTES
435 CLARK RD SUITE 107
JACKSONVILLE, FL 32218-5596
Phone number: 904-765-0665
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Mailing Address
-- STANVONNA SHOOTES
6535 SUNSET DR
JACKSONVILLE, FL 32208-4637
Phone number: 904-485-0715
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