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1346739976
GRACE SHOEMAKER
TAMPA, FL
NPI
1346739976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2018-05-09
Last Update Date
2018-05-09
Business Address
GRACE SHOEMAKER
15884 SANCTUARY DR
TAMPA, FL 33647-1076
Phone number: 813-763-4753
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Mailing Address
GRACE SHOEMAKER
15884 SANCTUARY DR
TAMPA, FL 33647-1076
Phone number: 813-763-4753
Copy
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