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1790064848
SAMANTHA L SHINE
GAINESVILLE, FL
NPI
1790064848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-08-08
Last Update Date
2011-08-08
Business Address
-- SAMANTHA L SHINE
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
-- SAMANTHA L SHINE
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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