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Individual

MARLIE VICTOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4011 N PINE ISLAND RD APT 202, SUNRISE, FL 33351-6760
(754) 366-7937
Mailing address
4011 N PINE ISLAND RD APT 202, SUNRISE, FL 33351-6760
(754) 366-7937

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
02/15/2022
Last updated
02/16/2022
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