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1407281660
MONICA VICKERS
LAKE WALES, FL
NPI
1407281660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6906570)
Enumeration Date
2013-09-06
Last Update Date
2013-09-06
Business Address
Mrs. MONICA VICKERS
2313 MAMMOTH GROVE RD
LAKE WALES, FL 33898-8583
Phone number: 863-206-6439
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Mailing Address
Mrs. MONICA VICKERS
2313 MAMMOTH GROVE RD
LAKE WALES, FL 33898-8583
Phone number: 863-206-6439
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