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1831864164
KATHERINE NICOLE DATES
TAMPA, FL
NPI
1831864164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
Ms. KATHERINE NICOLE DATES
8001 BEATY GROVE DR
TAMPA, FL 33626-1602
Phone number: 813-926-5454
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Mailing Address
Ms. KATHERINE NICOLE DATES
8001 BEATY GROVE DR
TAMPA, FL 33626-1602
Phone number:
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