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1275806424
IMMACULA ALEXIS
DAVIE, FL
NPI
1275806424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2012-02-20
Last Update Date
2012-02-20
Business Address
-- IMMACULA ALEXIS
12401 ORANGE DR SUITE 219
DAVIE, FL 33330-4341
Phone number: 954-862-1707
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Mailing Address
-- IMMACULA ALEXIS
6575 W OAKLAND PARK BLVD APT. 104
LAUDERHILL, FL 33313-1146
Phone number:
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