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Individual

ANITRIS LACHELE NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1627 E SILVER SPRINGS BLVD, STE. D, OCALA, FL 34470-8247
(352) 433-2610
(352) 433-2621
Mailing address
1627 E SILVER SPRINGS BLVD, STE. D, OCALA, FL 34470-8247
(352) 433-2610
(352) 433-2621

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
230877
FL
376J00000X
Homemaker
Primary
230877
FL

Other

Enumeration date
12/03/2009
Last updated
12/03/2009
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