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1144784638
CAROLE STALLWORTH
JACKSONVILLE, FL
NPI
1144784638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
CAROLE STALLWORTH
5116 MCMANUS DR
JACKSONVILLE, FL 32210-6353
Phone number: 904-703-0451
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Mailing Address
CAROLE STALLWORTH
1264 HARBOUR TOWN DR
ORANGE PARK, FL 32065-2562
Phone number:
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