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1104470210
SHAKEVIA NELSON
MIAMI, FL
NPI
1104470210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA17116)
Enumeration Date
2019-07-26
Last Update Date
2020-01-09
Business Address
SHAKEVIA NELSON OTA17116
5200 NE 2ND AVE
MIAMI, FL 33137-2706
Phone number: 352-382-7214
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Mailing Address
SHAKEVIA NELSON OTA17116
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-7214
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