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1487137337
LARRY SHAWN ANGEL
ST PETERSBURG, FL
NPI
1487137337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
LARRY SHAWN ANGEL
8081 38TH AVE N
ST PETERSBURG, FL 33710-1029
Phone number: 727-345-2667
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Mailing Address
LARRY SHAWN ANGEL
8081 38TH AVE N
ST PETERSBURG, FL 33710-1029
Phone number: 727-345-2667
Copy
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