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1699323139
SHAKERA ANN MARIE BUCKNOR INGRAM
PEMBROKE PINES, FL
NPI
1699323139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
SHAKERA ANN MARIE BUCKNOR INGRAM
1561 SW 190TH AVE
PEMBROKE PINES, FL 33029-6148
Phone number: 305-332-6572
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Mailing Address
SHAKERA ANN MARIE BUCKNOR INGRAM
1561 SW 190TH AVE
PEMBROKE PINES, FL 33029-6148
Phone number: 305-332-6572
Copy
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