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1174104277
LIVING THE DREAM 63 LLC
TALLAHASSEE, FL
NPI
1174104277
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Entity Type
Organization
Authorized Contact
DAVID CASTILLO
Owner/Manager
850-264-5998
Organization Subpart ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
LIVING THE DREAM 63 LLC
3182 DUNBAR LN
TALLAHASSEE, FL 32311-3362
Phone number: 850-264-5998
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Mailing Address
LIVING THE DREAM 63 LLC
3182 DUNBAR LN
TALLAHASSEE, FL 32311-3362
Phone number: 850-264-5998
Copy
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