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1154529089
ANDRISE ANTOINE
PORT ST LUCIE, FL
NPI
1154529089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: FL CNA 108781)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
ANDRISE ANTOINE
518 NW KILPATRICK AVE
PORT ST LUCIE, FL 34983-8719
Phone number: 772-672-5238
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Mailing Address
ANDRISE ANTOINE
518 NW KILPATRICK AVE
PORT ST LUCIE, FL 34983-8719
Phone number:
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