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1518639939
COLLIN BUCHANAN
TAMPA, FL
NPI
1518639939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6907064)
Enumeration Date
2021-10-04
Last Update Date
2021-10-04
Business Address
COLLIN BUCHANAN
3715 E POWHATAN AVE
TAMPA, FL 33610-3726
Phone number: 813-523-5963
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Mailing Address
COLLIN BUCHANAN
3715 E POWHATAN AVE
TAMPA, FL 33610-3726
Phone number: 813-523-5963
Copy
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