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1477806891
MARY SUSAN LEGER
FORT WALTON BEACH, FL
NPI
1477806891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: FL MA 50906)
Enumeration Date
2012-10-23
Last Update Date
2012-10-23
Business Address
-- MARY SUSAN LEGER
119 TRUXTON AVE
FORT WALTON BEACH, FL 32547-2460
Phone number: 850-862-4313
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Mailing Address
-- MARY SUSAN LEGER
107 CRISTINE CT
NICEVILLE, FL 32578-4713
Phone number: 850-496-0951
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