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1134463375
IVELISSE YADIRA CANCEL
DAYTONA BEACH, FL
NPI
1134463375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-11-11
Last Update Date
2012-11-12
Business Address
-- IVELISSE YADIRA CANCEL
259 BILL FRANCE BLVD SUITE 200
DAYTONA BEACH, FL 32114-1316
Phone number: 484-885-9335
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Mailing Address
-- IVELISSE YADIRA CANCEL
77 BUTTERFIELD DR
PALM COAST, FL 32137-3517
Phone number: 484-885-9335
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