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1053724187
ASHLEY GRAHAM
LAKE CITY, FL
NPI
1053724187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2014-06-05
Last Update Date
2014-06-05
Business Address
-- ASHLEY GRAHAM
239 SW ARMAND PL
LAKE CITY, FL 32025-2608
Phone number: 352-301-6163
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Mailing Address
-- ASHLEY GRAHAM
239 SW ARMAND PL
LAKE CITY, FL 32025-2608
Phone number:
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