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1396225249
DETRA MORRISON
LAKELAND, FL
NPI
1396225249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
DETRA MORRISON
5440 OLD HIGHWAY 37
LAKELAND, FL 33811-2331
Phone number: 863-877-6287
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Mailing Address
DETRA MORRISON
PO BOX 6462
LAKELAND, FL 33807-6462
Phone number: 863-877-6287
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