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1194948000
LACONYA OWENS
PORT SAINT LUCIE, FL
NPI
1194948000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5167740)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
-- LACONYA OWENS
2541 SW KENILWORTH ST
PORT SAINT LUCIE, FL 34953-2575
Phone number: 772-340-4220
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Mailing Address
-- LACONYA OWENS
2541 SW KENILWORTH ST
PORT SAINT LUCIE, FL 34953-2575
Phone number:
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