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1063558187
LISA RAE O'HANLAN
LARGO, FL
NPI
1063558187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA4734)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
-- LISA RAE O'HANLAN M.Ed CCC-SLP
1725 E BAY DR
LARGO, FL 33771-2208
Phone number: 727-582-9665
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Mailing Address
-- LISA RAE O'HANLAN M.Ed CCC-SLP
1317 DOROTHY DR
CLEARWATER, FL 33764-3657
Phone number:
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