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1306089297
ANTJUAN SHANTAE CAMIEL
LAKE CITY, FL
NPI
1306089297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-04-08
Last Update Date
2009-04-08
Business Address
-- ANTJUAN SHANTAE CAMIEL
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 386-487-0800
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Mailing Address
-- ANTJUAN SHANTAE CAMIEL
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number:
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