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1083260111
JANE LAISIN
RIVERVIEW, FL
NPI
1083260111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Additional Taxonomies
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-08-14
Last Update Date
2022-05-03
Business Address
JANE LAISIN
11411 DRIFTING LEAF DR
RIVERVIEW, FL 33579-0002
Phone number: 813-975-8329
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Mailing Address
JANE LAISIN
11411 DRIFTING LEAF DR
RIVERVIEW, FL 33579-0002
Phone number: 813-975-8329
Copy
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