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Individual

MRS. JAIME LYN MCMILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
9018 SW 100TH TER, GAINESVILLE, FL 32608-5963
(352) 222-9104
Mailing address
9018 SW 100TH TER, GAINESVILLE, FL 32608-5963
(352) 222-9104

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
10/29/2012
Last updated
10/29/2012
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