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1518472901
KACEY GARCIA POULIN
TAMPA, FL
NPI
1518472901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA5461)
Enumeration Date
2017-12-06
Last Update Date
2018-03-23
Business Address
KACEY GARCIA POULIN MA,CCC-SLP
4202 E FOWLER AVE PCD2000
TAMPA, FL 33620-0001
Phone number: 813-810-1278
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Mailing Address
KACEY GARCIA POULIN MA,CCC-SLP
4202 E FOWLER AVE STOP PCD1017
TAMPA, FL 33620-6750
Phone number:
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