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1902288046
REGINA CONKLIN
TAMPA, FL
NPI
1902288046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY4699)
Enumeration Date
2015-06-25
Last Update Date
2015-06-25
Business Address
-- REGINA CONKLIN
3191 CLAY MANGUM LN
TAMPA, FL 33618-2501
Phone number: 813-264-3807
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Mailing Address
-- REGINA CONKLIN
608 SURREY LN
LUTZ, FL 33549-5682
Phone number: 813-264-3807
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