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1134634942
MARY LOUIS
WEST PALM BEACH, FL
NPI
1134634942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
(Licence: FL 5188867)
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
MARY LOUIS
2856 TENNIS CLUB DR APT 200
WEST PALM BEACH, FL 33417-2945
Phone number: 561-306-1281
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Mailing Address
MARY LOUIS
2856 TENNIS CLUB DR APT 200
WEST PALM BEACH, FL 33417-2945
Phone number:
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