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1407106172
NINA TERESA POWELL
RIVERVIEW, FL
NPI
1407106172
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Former Name
NINA TERESA LAUCIUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL 15360)
Enumeration Date
2012-09-10
Last Update Date
2012-09-10
Business Address
-- NINA TERESA POWELL OTR/L
12313 KENTBROOK MANOR LN
RIVERVIEW, FL 33579-3938
Phone number: 919-830-9863
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Mailing Address
-- NINA TERESA POWELL OTR/L
12313 KENTBROOK MANOR LN
RIVERVIEW, FL 33579-3938
Phone number:
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