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1104905348
LIFE DANCE INC
GAINESVILLE, FL
NPI
1104905348
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Entity Type
Organization
Authorized Contact
MARK A MANUEL
President
352-335-1240
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2006-11-06
Last Update Date
2014-08-05
Business Address
LIFE DANCE INC
6417 NW 37TH DR
GAINESVILLE, FL 32653-0868
Phone number: 352-335-1240
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Mailing Address
LIFE DANCE INC
6417 NW 37TH DR
GAINESVILLE, FL 32653-0868
Phone number: 352-335-1240
Copy
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