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1356182026
JACQUELINE DORVELUS
PALMETTO, FL
NPI
1356182026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6907119)
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
JACQUELINE DORVELUS
5131 BLUE WILLOW WAY
PALMETTO, FL 34221-2765
Phone number: 941-536-3151
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Mailing Address
JACQUELINE DORVELUS
5131 BLUE WILLOW WAY
PALMETTO, FL 34221-2765
Phone number: 941-536-3151
Copy
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