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1144862269
KATORYA LATIA BUSH
WINTER HAVEN, FL
NPI
1144862269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist Speech-Language Assistant
(Licence: FL SI4109)
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
MRS. KATORYA LATIA BUSH SLP-A
330 AVENUE C SE
WINTER HAVEN, FL 33880-3243
Phone number: 863-268-2903
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Mailing Address
MRS. KATORYA LATIA BUSH SLP-A
3605 COVINGTON LN
LAKELAND, FL 33810-2710
Phone number: 813-856-7541
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