CORRINE IDA CONKLIN

TAMPA, FL
NPI1780992529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2010-09-15
Last Update Date2010-09-15
Business Address
-- CORRINE IDA CONKLIN
2804 HEATHERWOOD DR
TAMPA, FL 33618-1155
Phone number: 813-205-1906
Mailing Address
-- CORRINE IDA CONKLIN
2804 HEATHERWOOD DR
TAMPA, FL 33618-1155
Phone number: 813-205-1906
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