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1144626276
LISA FRED
FORT PIERCE, FL
NPI
1144626276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-11-18
Last Update Date
2014-11-18
Business Address
LISA FRED
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number: 772-468-5600
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Mailing Address
LISA FRED
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number:
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