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Individual

MISS HARPER DAVIE FULLENKAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
520 S FLORIDA AVE, LAKELAND, FL 33801-5229
(863) 583-5070
Mailing address
4022 STONEHENGE RD, MULBERRY, FL 33860-8515
(863) 845-3010

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI7863
FL

Other

Enumeration date
04/02/2025
Last updated
04/02/2025
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