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1740576164
SAMUEL DAVIS
KISSIMMEE, FL
NPI
1740576164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2011-06-23
Last Update Date
2011-06-23
Business Address
-- SAMUEL DAVIS
1200 N CENTRAL AVE STE 212
KISSIMMEE, FL 34741-4440
Phone number: 407-259-8438
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Mailing Address
-- SAMUEL DAVIS
3327 JUJUBE DR
ORLANDO, FL 32810-2980
Phone number: 407-927-9810
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