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1487968632
TRICIA L ROTH
JACKSONVILLE, FL
NPI
1487968632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2010-07-29
Last Update Date
2013-06-05
Business Address
-- TRICIA L ROTH
4308 HANOVER PARK DR
JACKSONVILLE, FL 32224-8602
Phone number: 904-572-6804
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Mailing Address
-- TRICIA L ROTH
861139 WORTHINGTON DR
YULEE, FL 32097-6449
Phone number: 904-572-6804
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