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Individual

TRAE IVANA RANSOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14055 TOWN LOOP BLVD, SUITE 300, ORLANDO, FL 32837-6105
(407) 857-6285
Mailing address
1220 WHISPERING WINDS CT, APOPKA, FL 32703-3701
(407) 287-2174

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
01/05/2016
Last updated
01/05/2016
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