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1447356738
LARRY CONDRA
GAINESVILLE, FL
NPI
1447356738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL 1290)
Enumeration Date
2006-09-15
Last Update Date
2022-07-21
Business Address
-- LARRY CONDRA
1601 SW ARCHER ROAD
GAINESVILLE, FL 32608
Phone number: 352-371-1611
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Mailing Address
-- LARRY CONDRA
816 NE 10TH PLACE
GAINESVILLE, FL 32601
Phone number: 352-264-7897
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