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1659673028
VICKY LYNN STEVENS
GAINESVILLE, FL
NPI
1659673028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: FL OTA11501)
Enumeration Date
2010-11-17
Last Update Date
2010-11-17
Business Address
Mrs. VICKY LYNN STEVENS COTA/L
5211 SW 91ST TER STE B
GAINESVILLE, FL 32608-9100
Phone number: 352-682-3461
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Mailing Address
Mrs. VICKY LYNN STEVENS COTA/L
5211 SW 91ST TER STE B
GAINESVILLE, FL 32608-9100
Phone number: 352-682-3461
Copy
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