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1285241489
GANIELLE MARVA PETERSON
PORT ST LUCIE, FL
NPI
1285241489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376G00000X Nursing Home Administrator
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
MS. GANIELLE MARVA PETERSON ASSISTED LIVING ADMN
2773 SE CLARETON TER
PORT ST LUCIE, FL 34952-6621
Phone number: 954-657-1812
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Mailing Address
MS. GANIELLE MARVA PETERSON ASSISTED LIVING ADMN
2773 SE CLARETON TER
PORT ST LUCIE, FL 34952-6621
Phone number: 954-657-1812
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