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1174883532
JENNINE NOLAN
TAMPA, FL
NPI
1174883532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: FL N450-436-76-588-0)
Enumeration Date
2012-05-20
Last Update Date
2012-05-20
Business Address
Mrs. JENNINE NOLAN
13139 W LINEBAUGH AVE
TAMPA, FL 33626-4498
Phone number: 813-932-3013
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Mailing Address
Mrs. JENNINE NOLAN
13139 W LINEBAUGH AVE
TAMPA, FL 33626-4498
Phone number: 813-932-3013
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