CHARITY PROVANCAL-BLACK

GAINESVILLE, FL
NPI1669731808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2012-05-09
Last Update Date2012-05-09
Business Address
-- CHARITY PROVANCAL-BLACK
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
Mailing Address
-- CHARITY PROVANCAL-BLACK
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number:
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