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1447722889
CHELSEA BASCOME
ORANGE PARK, FL
NPI
1447722889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2018-12-25
Last Update Date
2018-12-25
Business Address
CHELSEA BASCOME
3138 WHITE HERON TRL
ORANGE PARK, FL 32073-1645
Phone number: 252-469-9884
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Mailing Address
CHELSEA BASCOME
3138 WHITE HERON TRL
ORANGE PARK, FL 32073-1645
Phone number: 252-469-9884
Copy
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