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1073868964
CHANEL HOLSTON
DAVIE, FL
NPI
1073868964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2012-07-17
Last Update Date
2012-07-17
Business Address
-- CHANEL HOLSTON
12401 ORANGE DR SUITE 219
DAVIE, FL 33330-4341
Phone number: 954-862-1707
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Mailing Address
-- CHANEL HOLSTON
765 NW 15TH CT
POMPANO BEACH, FL 33060-5308
Phone number:
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