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1073955035
KEITH A STAPLE
FORT MYERS, FL
NPI
1073955035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-07-19
Last Update Date
2013-07-19
Business Address
-- KEITH A STAPLE
3763 EVANS AVE
FORT MYERS, FL 33901-9302
Phone number: 239-931-9812
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Mailing Address
-- KEITH A STAPLE
3763 EVANS AVE
FORT MYERS, FL 33901
Phone number: 239-931-9812
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