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1225851538
JACQUELINE PATRICE VICKERS
LAKELAND, FL
NPI
1225851538
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Other Name
JACKIE PATRICE VICKERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2024-11-05
Last Update Date
2024-11-05
Business Address
JACQUELINE PATRICE VICKERS MEd
2137 TEHAMA CT
LAKELAND, FL 33805-3079
Phone number: 863-430-7307
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Mailing Address
JACQUELINE PATRICE VICKERS MEd
2137 TEHAMA CT
LAKELAND, FL 33805-3079
Phone number:
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