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1811620826
DEXTER DANIEL WILBORN
TAMPA, FL
NPI
1811620826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: FL PY12395)
Enumeration Date
2022-07-07
Last Update Date
2024-11-06
Business Address
DEXTER DANIEL WILBORN Ph.D.
13515 LAKE TERRACE LN
TAMPA, FL 33637-1003
Phone number: 321-243-3779
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Mailing Address
DEXTER DANIEL WILBORN Ph.D.
13515 LAKE TERRACE LN
TAMPA, FL 33637-1003
Phone number: 321-243-3779
Copy
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