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1699862011
GAVIN D SHOAL
LAKE CITY, FL
NPI
1699862011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY 7393)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
Dr. GAVIN D SHOAL Ph.D.
619 S MARION AVE UNIT 9
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
Dr. GAVIN D SHOAL Ph.D.
619 S MARION AVE UNIT 9
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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