Provider First Line Business Practice Location Address: 
GENETIC COUNSELING SHANDS PLZ
    Provider Second Line Business Practice Location Address: 
BOX 100383
    Provider Business Practice Location Address City Name: 
GAINESVILLE
    Provider Business Practice Location Address State Name: 
FL
    Provider Business Practice Location Address Postal Code: 
32610-0383
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
352-265-0111
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
05/22/2015