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1972844629
JELISA LATRELL COLLINS
POMPANO BEACH, FL
NPI
1972844629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2013-03-05
Last Update Date
2013-03-05
Business Address
-- JELISA LATRELL COLLINS
4301 N FEDERAL HWY SUITE 2 SOUTH
POMPANO BEACH, FL 33064-6519
Phone number: 888-880-9270
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Mailing Address
-- JELISA LATRELL COLLINS
114 RIDGEHILL DR
LEXINGTON, SC 29073-7060
Phone number:
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