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1851744056
AMIE BLACKWOOD
LAKE MARY, FL
NPI
1851744056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: FL PTA23405)
Enumeration Date
2016-07-22
Last Update Date
2016-07-22
Business Address
-- AMIE BLACKWOOD PTA
781 CREEKWATER TER APT 111
LAKE MARY, FL 32746-6063
Phone number: 407-925-4605
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Mailing Address
-- AMIE BLACKWOOD PTA
781 CREEKWATER TER APT 111
LAKE MARY, FL 32746-6063
Phone number: 407-925-4605
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