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1104129261
ALTON ROY LATTERY
MIAMI, FL
NPI
1104129261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2010-12-13
Last Update Date
2017-05-25
Business Address
Mr. ALTON ROY LATTERY
2090 NW 115TH ST
MIAMI, FL 33167-2710
Phone number: 305-687-7142
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Mailing Address
Mr. ALTON ROY LATTERY
2090 NW 115TH ST
MIAMI, FL 33167-2710
Phone number: 305-687-7142
Copy
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