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1780807289
STACY SHORE
GAINESVILLE, FL
NPI
1780807289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: FL OT7559)
Enumeration Date
2007-04-11
Last Update Date
2007-07-09
Business Address
-- STACY SHORE OTR
120 NW 28TH ST
GAINESVILLE, FL 32607-2511
Phone number: 352-246-5384
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Mailing Address
-- STACY SHORE OTR
379 MAGUIRE VLG APT 6
GAINESVILLE, FL 32603-2079
Phone number: 352-846-5492
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