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1023469061
GENESIS GAMES
KISSIMMEE, FL
NPI
1023469061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
-- GENESIS GAMES
2540 MICHIGAN AVE
KISSIMMEE, FL 34744-1933
Phone number: 407-846-5258
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Mailing Address
-- GENESIS GAMES
7417 KEY LARGO DR APT 1215
WINTER PARK, FL 32792-6929
Phone number:
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