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1073144176
CANDACE HEATHER GRAY
COCONUT CREEK, FL
NPI
1073144176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA8622)
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
CANDACE HEATHER GRAY
4125 W SAMPLE RD
COCONUT CREEK, FL 33073-4456
Phone number: 954-968-8333
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Mailing Address
CANDACE HEATHER GRAY
6919 CAMILLE ST
BOYNTON BEACH, FL 33437-6057
Phone number: 727-667-9491
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