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1891400420
TERESA M RIDDLE
TAMPA, FL
NPI
1891400420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2023-01-18
Last Update Date
2023-01-18
Business Address
TERESA M RIDDLE
3805 N 54TH ST
TAMPA, FL 33619-1045
Phone number: 813-841-5485
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Mailing Address
TERESA M RIDDLE
3805 N 54TH ST
TAMPA, FL 33619-1045
Phone number: 813-841-5485
Copy
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