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1104602192
LYDIA A CALLENDER
PORT ST LUCIE, FL
NPI
1104602192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: FL 000004-2023)
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
Mrs. LYDIA A CALLENDER
3631 SW HAINES ST
PORT ST LUCIE, FL 34953-3883
Phone number: 201-410-7184
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Mailing Address
Mrs. LYDIA A CALLENDER
3631 SW HAINES ST
PORT ST LUCIE, FL 34953-3883
Phone number: 201-410-7184
Copy
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