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1992496913
KATHIE JOY CRISP
LAKE CITY, FL
NPI
1992496913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: FL DO5913)
Enumeration Date
2023-05-19
Last Update Date
2023-05-19
Business Address
KATHIE JOY CRISP LDO
2767 U.S. HIGHWAY 90 WEST
LAKE CITY, FL 32055
Phone number: 386-755-3136
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Mailing Address
KATHIE JOY CRISP LDO
2767 U.S. HIGHWAY 90 WEST
LAKE CITY, FL 32055
Phone number: 386-755-3136
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