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1134632276
LATRICE AMARIAH COLEMAN
PORT ST LUCIE, FL
NPI
1134632276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-11-12
Last Update Date
2017-11-12
Business Address
LATRICE AMARIAH COLEMAN
485 SW HOMELAND RD
PORT ST LUCIE, FL 34953-6281
Phone number: 772-209-0782
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Mailing Address
LATRICE AMARIAH COLEMAN
485 SW HOMELAND RD
PORT ST LUCIE, FL 34953-6281
Phone number: 772-209-0782
Copy
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