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1063920882
GAYLEANN KING
FORT PIERCE, FL
NPI
1063920882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2018-01-15
Last Update Date
2018-01-15
Business Address
GAYLEANN KING
2901 AVENUE D
FORT PIERCE, FL 34947-2663
Phone number: 772-626-4456
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Mailing Address
GAYLEANN KING
2901 AVENUE D
FORT PIERCE, FL 34947-2663
Phone number:
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