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1730523150
MILDRED MORTIMER
TAMPA, FL
NPI
1730523150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2013-04-29
Last Update Date
2016-04-12
Business Address
-- MILDRED MORTIMER
16539 LAKE BRIGADOON CIR
TAMPA, FL 33618-1146
Phone number: 813-579-2212
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Mailing Address
-- MILDRED MORTIMER
16539 LAKE BRIGADOON CIR
TAMPA, FL 33618-1146
Phone number: 813-579-2212
Copy
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