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1790114429
SHELLEY FORGAS BLANCO
LUTZ, FL
NPI
1790114429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA12347)
Enumeration Date
2013-11-04
Last Update Date
2018-01-18
Business Address
Mrs. SHELLEY FORGAS BLANCO M.S., CCC/SLP
19106 FISHERMANS BEND DR
LUTZ, FL 33558-9747
Phone number: 813-401-0863
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Mailing Address
Mrs. SHELLEY FORGAS BLANCO M.S., CCC/SLP
19106 FISHERMANS BEND DR
LUTZ, FL 33558-9747
Phone number: 813-401-0863
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