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Individual

MISS EBONI N LYONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
3487 SHORTLEAF CT, CANTONMENT, FL 32533-8449
(850) 284-2093
Mailing address
3487 SHORTLEAF CT APT U6, CANTONMENT, FL 32533-8449
(850) 284-2093

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
FL

Other

Enumeration date
10/28/2007
Last updated
11/06/2023
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