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1104930973
JEANNETTE H. RUNYON
LAKE CITY, FL
NPI
1104930973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA 1455)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
Mrs. JEANNETTE H. RUNYON SLP
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
Mrs. JEANNETTE H. RUNYON SLP
304 SW LOBLOLLY PL
LAKE CITY, FL 32024-4242
Phone number: 386-752-5534
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