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1396940904
SHANITA LAFE RICHARDSON
PENSACOLA, FL
NPI
1396940904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-06-15
Last Update Date
2007-07-08
Business Address
-- SHANITA LAFE RICHARDSON
916 E FAIRFIELD DR
PENSACOLA, FL 32503-2817
Phone number: 850-434-7755
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Mailing Address
-- SHANITA LAFE RICHARDSON
3932 N 10TH AVE
PENSACOLA, FL 32503-2807
Phone number: 850-434-7755
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