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MRS. MICHELE LORRAINE DAVIS

>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1861915829

Individual Registrant:
MRS. MICHELE LORRAINE DAVIS 
Gender: F
Sole Proprietor

Location and contact information for practice:
138 E SAINT JOHNS TER  EAST PALATKA, FL 32131-4028 US
Tel: (38-6) -336-7942  Fax: --

Contact information for business:
138 E SAINT JOHNS TER  EAST PALATKA, FL 32131-4028 US
Tel: 386-336-7942  Fax: --

Registration Information:
NPI: 1861915829
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Developmental Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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