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1700512225
DAVID RICHARDSON
TEMPLE TERRACE, FL
NPI
1700512225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
DAVID RICHARDSON
5213 E 127TH AVE
TEMPLE TERRACE, FL 33617-1435
Phone number: 813-751-5332
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Mailing Address
DAVID RICHARDSON
5213 E 127TH AVE
TEMPLE TERRACE, FL 33617-1435
Phone number: 813-751-5332
Copy
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