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1073397717
VILNA D JACOB
PORT ST LUCIE, FL
NPI
1073397717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
(Licence: 238668)
Additional Taxonomies
376J00000X Homemaker
(Licence: FL 238668)
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
Ms. VILNA D JACOB
1950 SE PORT ST LUCIE BLVD STE 212
PORT ST LUCIE, FL 34952-5579
Phone number: 772-446-4871
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Mailing Address
Ms. VILNA D JACOB
1950 SE PORT ST LUCIE BLVD STE 212
PORT ST LUCIE, FL 34952-5579
Phone number: 772-446-4871
Copy
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