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Individual

MRS. KELLEY JUNE DETURO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
3261 US HWY 441 SUITE B3, FRUITLAND PARK, FL 34731-4497
(352) 323-0612
Mailing address
13124 S SUNSET TER, WINTER GARDEN, FL 34787-9675
(407) 654-2686

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
811868000
FL
Enumeration date
05/04/2007
Last updated
02/25/2025
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