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1033948591
KANESHA GENTRY
TAMPA, FL
NPI
1033948591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
KANESHA GENTRY
6421 N FLORIDA AVE # D-593
TAMPA, FL 33604-6007
Phone number: 813-551-1219
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Mailing Address
KANESHA GENTRY
6421 N FLORIDA AVE # D-593
TAMPA, FL 33604-6007
Phone number: 813-551-1219
Copy
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