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1225073612
BARBARA BEAVEN
TAMPA, FL
NPI
1225073612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL OTA 9719)
Enumeration Date
2006-06-18
Last Update Date
2007-07-08
Business Address
-- BARBARA BEAVEN OTA
2215 E HENRY AVE
TAMPA, FL 33610-4432
Phone number: 813-239-1179
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Mailing Address
-- BARBARA BEAVEN OTA
2215 E HENRY AVE
TAMPA, FL 33610-4432
Phone number: 813-239-1179
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