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1417137191
JOANISE METELUS
PORT ST LUCIE, FL
NPI
1417137191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN 5162565)
Enumeration Date
2007-11-09
Last Update Date
2007-11-09
Business Address
-- JOANISE METELUS
3346 SW MARTIN ST
PORT ST LUCIE, FL 34953-4915
Phone number: 772-497-4364
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Mailing Address
-- JOANISE METELUS
3346 SW MARTIN ST
PORT ST LUCIE, FL 34953-4915
Phone number:
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