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Individual

SHAWN LATRICE HAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3960 W.D. JUDGE .DR.APT138, 3960 W D JUDGE DR.APT138, ORLANDO, FL 32808
(132) 159-4382
Mailing address
3241 OLD WINTER GARDEN RD STE 26, ORLANDO, FL 32805-1124
(321) 594-3829

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
87-0835223
FL

Other

Enumeration date
06/14/2023
Last updated
06/14/2023
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