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1336150853
HOLLY M. ANTAL
JACKSONVILLE, FL
NPI
1336150853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: FL PY7214)
Enumeration Date
2006-08-10
Last Update Date
2011-09-02
Business Address
Dr. HOLLY M. ANTAL PhD
807 CHILDRENS WAY
JACKSONVILLE, FL 32207-8426
Phone number: 904-390-3785
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Mailing Address
Dr. HOLLY M. ANTAL PhD
PO BOX 191 PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212
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