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1033675616
DIANNE ROOSEN
ST AUGUSTINE, FL
NPI
1033675616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA16247)
Enumeration Date
2019-02-19
Last Update Date
2019-02-19
Business Address
DIANNE ROOSEN
2 COLEMAN DR
ST AUGUSTINE, FL 32084-2873
Phone number: 727-967-1036
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Mailing Address
DIANNE ROOSEN
2 COLEMAN DR
ST AUGUSTINE, FL 32084-2873
Phone number: 727-967-1036
Copy
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