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1063720787
JACQUELINE GALE MCGORDON
LAKELAND, FL
NPI
1063720787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6906490)
Enumeration Date
2010-09-15
Last Update Date
2011-08-23
Business Address
Ms. JACQUELINE GALE MCGORDON
1038 N WALKER AVE
LAKELAND, FL 33805-4276
Phone number: 863-688-9776
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Mailing Address
Ms. JACQUELINE GALE MCGORDON
828 W 2ND ST
LAKELAND, FL 33805-4226
Phone number: 863-688-9776
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