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1184024994
TINA MICHELLE CLAYBOURN
NEW SMYRNA BEACH, FL
NPI
1184024994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
(Licence: FL MA 54641)
Enumeration Date
2014-08-28
Last Update Date
2014-08-28
Business Address
-- TINA MICHELLE CLAYBOURN LMT
376 N SAMSULA DR
NEW SMYRNA BEACH, FL 32168-8786
Phone number: 386-500-8032
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Mailing Address
-- TINA MICHELLE CLAYBOURN LMT
376 N SAMSULA DR
NEW SMYRNA BEACH, FL 32168-8786
Phone number: 386-500-8032
Copy
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