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1902477656
STALACIA COLLYMORE
PALM CITY, FL
NPI
1902477656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-21-172803)
Enumeration Date
2021-07-05
Last Update Date
2022-01-18
Business Address
STALACIA COLLYMORE
1765 SW CAPTAINS PL
PALM CITY, FL 34990-1747
Phone number: 727-266-8727
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Mailing Address
STALACIA COLLYMORE
5981 VIA VERMILYA APT 103
LANTANA, FL 33462-2441
Phone number: 561-425-4922
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