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Individual

STANLEY DANIEL DORIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6277 HARCROSS CT, SPRING HILL, FL 34606-5613
(352) 410-9344
(352) 556-4636
Mailing address
6277 HARCROSS CT, SPRING HILL, FL 34606-5613
(352) 410-9344
(352) 556-4636

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
04/26/2009
Last updated
04/26/2009
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