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1316416381
SHACOYA MONTGOMERY
LAKELAND, FL
NPI
1316416381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2018-11-19
Last Update Date
2018-11-19
Business Address
SHACOYA MONTGOMERY
3909 SANDHILL CRANE DR
LAKELAND, FL 33811-1862
Phone number: 863-617-5840
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Mailing Address
SHACOYA MONTGOMERY
3909 SANDHILL CRANE DR
LAKELAND, FL 33811-1862
Phone number: 863-617-5840
Copy
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