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1306054051
CAROLYN RENEE LEAVITT
CORAL GABLES, FL
NPI
1306054051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: FL ME0064799)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- CAROLYN RENEE LEAVITT
6705 RED ROAD SUITE 611
CORAL GABLES, FL 33143
Phone number: 305-662-1610
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Mailing Address
-- CAROLYN RENEE LEAVITT
12745 SW 69TH AVE
MIAMI, FL 33156-6220
Phone number: 305-662-1610
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