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1417481813
WILLEEN WOODALL
PALM HARBOR, FL
NPI
1417481813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: FL OTA15811)
Enumeration Date
2017-04-12
Last Update Date
2017-04-12
Business Address
-- WILLEEN WOODALL COTA
31790 US HIGHWAY 19 N UNIT 252
PALM HARBOR, FL 34684-3729
Phone number: 850-843-5837
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Mailing Address
-- WILLEEN WOODALL COTA
31790 US HIGHWAY 19 N UNIT 252
PALM HARBOR, FL 34684-3729
Phone number: 850-843-5837
Copy
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