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1356913206
SHANE G DIXON
ORLANDO, FL
NPI
1356913206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2021-07-12
Last Update Date
2021-07-12
Business Address
Mr. SHANE G DIXON
6400 LAKE HORSESHOE DR
ORLANDO, FL 32818-1737
Phone number: 407-732-1290
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Mailing Address
Mr. SHANE G DIXON
6400 LAKE HORSESHOE DR
ORLANDO, FL 32818-1737
Phone number: 407-732-1290
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