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1154692788
DONAVAN LEA MELTON
PANAMA CITY, FL
NPI
1154692788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT12039)
Enumeration Date
2012-01-12
Last Update Date
2012-01-12
Business Address
-- DONAVAN LEA MELTON OTR/L
626 N TYNDALL PKWY
PANAMA CITY, FL 32404-6132
Phone number: 850-871-6363
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Mailing Address
-- DONAVAN LEA MELTON OTR/L
3105 STATE AVE
PANAMA CITY, FL 32405-3343
Phone number: 850-258-4196
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