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1003569096
LARRY DEWAYNE COX
DAVENPORT, FL
NPI
1003569096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
Mr. LARRY DEWAYNE COX
232 SANDY RIDGE DR
DAVENPORT, FL 33896-3020
Phone number: 863-242-9130
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Mailing Address
Mr. LARRY DEWAYNE COX
232 SANDY RIDGE DR
DAVENPORT, FL 33896-3020
Phone number: 863-242-9130
Copy
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