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Individual

MRS. SUMIKO BURLEY- COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1572 AUBURN HILLS COURT, TAVARES, FL 32778
(352) 800-1644
Mailing address
PO BOX 773, TAVARES, FL 32778
(352) 800-1644

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
10/10/2016
Last updated
10/10/2016
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