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1144504614
BEADED STAR RECOVERY, LLC
JACKSONVILLE BEACH, FL
NPI
1144504614
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Entity Type
Organization
Authorized Contact
MARILYN DAHL
Mgr
904-270-1234
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2011-10-03
Last Update Date
2011-10-03
Business Address
BEADED STAR RECOVERY, LLC
2380 3RD ST S STE 2
JACKSONVILLE BEACH, FL 32250-4023
Phone number: 904-270-1234
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Mailing Address
BEADED STAR RECOVERY, LLC
2380 3RD ST S STE 2
JACKSONVILLE BEACH, FL 32250-4023
Phone number: 904-270-1234
Copy
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