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Individual

MRS. PATRICIA GAINES

Active
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Individual

MRS. PATRICIA GAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
686545396
FL
372600000X
Adult Companion
Primary
686545396
FL
376K00000X
Nurse's Aide
686545398
FL

Other

Enumeration date
07/08/2015
Last updated
07/08/2015
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