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1205326600
LAQUANDA WHITAKER
SAINT PETERSBURG, FL
NPI
1205326600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2018-05-11
Last Update Date
2018-05-11
Business Address
LAQUANDA WHITAKER
6355 27TH ST N
SAINT PETERSBURG, FL 33702-6395
Phone number: 727-667-2184
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Mailing Address
LAQUANDA WHITAKER
PO BOX 3392
PINELLAS PARK, FL 33780-3392
Phone number: 727-667-2184
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