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1194156489
RAFAEL AVECILLAS
DOVER, FL
NPI
1194156489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: FL AL11922)
Enumeration Date
2013-12-11
Last Update Date
2013-12-11
Business Address
RAFAEL AVECILLAS
2644 FRITZKE RD
DOVER, FL 33527-3433
Phone number: 813-325-9450
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Mailing Address
RAFAEL AVECILLAS
2644 FRITZKE RD
DOVER, FL 33527-3433
Phone number: 813-325-9450
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