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1679279392
ERIC GAITHER CLAYBURN
ST AUGUSTINE, FL
NPI
1679279392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW22547)
Enumeration Date
2023-02-03
Last Update Date
2024-07-12
Business Address
ERIC GAITHER CLAYBURN
201 SIMONE WAY
ST AUGUSTINE, FL 32086-7750
Phone number: 386-846-5412
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Mailing Address
ERIC GAITHER CLAYBURN
201 SIMONE WAY
ST AUGUSTINE, FL 32086-7750
Phone number: 386-846-5412
Copy
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