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1659357705
LAURIE VALLONESHIMKO
ORANGE PARK, FL
NPI
1659357705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL PT0014414)
Enumeration Date
2005-12-21
Last Update Date
2013-11-27
Business Address
Mrs. LAURIE VALLONESHIMKO MPT
1626 SHEFFIELD PL
ORANGE PARK, FL 32073-5268
Phone number: 904-269-7751
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Mailing Address
Mrs. LAURIE VALLONESHIMKO MPT
PO BOX 505
ORANGE PARK, FL 32067-0505
Phone number: 904-269-7751
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