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1386482149
BACK NINE VENTURES CORP
TAMPA, FL
NPI
1386482149
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Entity Type
Organization
Authorized Contact
CHAD HARDWICK
Authorized Official
813-261-3171
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
BACK NINE VENTURES CORP
6236 SCARLET DARTER WAY
TAMPA, FL 33625-3209
Phone number: 813-261-3171
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Mailing Address
BACK NINE VENTURES CORP
6236 SCARLET DARTER WAY
TAMPA, FL 33625-3209
Phone number: 813-261-3171
Copy
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