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1336780030
CANDICE RENE GINGLES
TAMPA, FL
NPI
1336780030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL 17253)
Enumeration Date
2019-10-03
Last Update Date
2019-10-03
Business Address
CANDICE RENE GINGLES
17470 BROOKSIDE TRACE CT
TAMPA, FL 33647-6201
Phone number: 813-600-5994
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Mailing Address
CANDICE RENE GINGLES
7499 OAK ST NE
ST PETERSBURG, FL 33702-5443
Phone number: 407-927-4901
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