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1730516071
SHINING START, LLC
PANAMA CITY, FL
NPI
1730516071
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Entity Type
Organization
Authorized Contact
STEFANY INGRAM
Itds
850-814-1473
Organization Subpart ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2013-10-01
Last Update Date
2014-07-31
Business Address
SHINING START, LLC
1913 GRANT AVE
PANAMA CITY, FL 32405-1525
Phone number: 850-814-1473
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Mailing Address
SHINING START, LLC
1913 GRANT AVE
PANAMA CITY, FL 32405-1525
Phone number: 850-814-1473
Copy
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