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1144717646
DEIDRE STUKES
BARTOW, FL
NPI
1144717646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
DEIDRE STUKES
1255 GOLFVIEW AVE
BARTOW, FL 33830-6736
Phone number: 863-519-0575
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Mailing Address
DEIDRE STUKES
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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