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1629570882
JACKIE WISOR
GAINESVILLE, FL
NPI
1629570882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2018-03-05
Last Update Date
2019-06-14
Business Address
JACKIE WISOR
1609 SW 66TH DR
GAINESVILLE, FL 32607-5363
Phone number: 727-365-6674
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Mailing Address
JACKIE WISOR
1609 SW 66TH DR
GAINESVILLE, FL 32607-5363
Phone number:
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