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Individual

LEAH GAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3325 N UNIVERSITY DR, CORAL SPRINGS, FL 33065-4162
(954) 344-6550
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
247000000X
Health Information Technician

Other

Enumeration date
12/06/2016
Last updated
03/17/2018
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