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1275184343
ETHEL LEE
GIBSONTON, FL
NPI
1275184343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-20
Last Update Date
2019-09-20
Business Address
ETHEL LEE
12605 SANDPINE RESERVE PL
GIBSONTON, FL 33534-5553
Phone number: 850-597-4803
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Mailing Address
ETHEL LEE
12605 SANDPINE RESERVE PL
GIBSONTON, FL 33534-5553
Phone number: 850-597-4803
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