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1013517143
GULF COAST AUTISM CLINIC, LLC
PANAMA CITY, FL
NPI
1013517143
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Entity Type
Organization
Authorized Contact
KURYN PATTERSON
CEO
850-628-7572
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
GULF COAST AUTISM CLINIC, LLC
2404 RUTH HENTZ AVE BLDG B
PANAMA CITY, FL 32405-2258
Phone number: 850-628-7572
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Mailing Address
GULF COAST AUTISM CLINIC, LLC
2404 RUTH HENTZ AVE BLDG B
PANAMA CITY, FL 32405-2258
Phone number: 850-628-7572
Copy
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