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1194270504
COLLINS BLAKE SCOTT
ORLANDO, FL
NPI
1194270504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA14574)
Enumeration Date
2016-08-16
Last Update Date
2024-08-31
Business Address
Mr. COLLINS BLAKE SCOTT
1733 LAKEMONT AVE # 106
ORLANDO, FL 32814-6350
Phone number: 502-316-1018
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Mailing Address
Mr. COLLINS BLAKE SCOTT
1733 LAKEMONT AVE # 106
ORLANDO, FL 32814-6350
Phone number: 502-316-1018
Copy
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