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1154515450
IZANA VICTOR
PORT ST LUCIE, FL
NPI
1154515450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: FL CNA37544)
Enumeration Date
2007-08-29
Last Update Date
2007-08-29
Business Address
IZANA VICTOR
214 SW AUBUDON AVE
PORT ST LUCIE, FL 34984-5030
Phone number: 772-626-4687
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Mailing Address
IZANA VICTOR
214 SW AUBUDON AVE
PORT ST LUCIE, FL 34984-5030
Phone number:
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