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1306409164
LISSETTE TAVERAS
JACKSONVILLE, FL
NPI
1306409164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
LISSETTE TAVERAS
4578 BRANDY OAK CT
JACKSONVILLE, FL 32257-8818
Phone number: 904-314-9859
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Mailing Address
LISSETTE TAVERAS
4578 BRANDY OAK CT
JACKSONVILLE, FL 32257-8818
Phone number: 904-314-9859
Copy
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