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Individual

KASHARD BANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
705 NE 20TH ST, GAINESVILLE, FL 32641-5817
(355) 234-7366
Mailing address
705 NE 20TH ST, GAINESVILLE, FL 32641-5817
(355) 234-7366

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
FL

Other

Enumeration date
01/23/2023
Last updated
01/23/2023
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