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1598280802
SHANICE DETERVILLE
MIAMI, FL
NPI
1598280802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-08-08
Last Update Date
2019-01-18
Business Address
SHANICE DETERVILLE
10300 SW 72ND ST STE 114
MIAMI, FL 33173-3038
Phone number: 305-508-5580
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Mailing Address
SHANICE DETERVILLE
4575 SE DIXIE HWY
STUART, FL 34997-6826
Phone number:
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