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1417696618
MARYSE DESLOUCHES
PORT ST LUCIE, FL
NPI
1417696618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6907068)
Enumeration Date
2022-06-03
Last Update Date
2022-06-03
Business Address
MARYSE DESLOUCHES
150 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984-5041
Phone number: 305-956-9030
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Mailing Address
MARYSE DESLOUCHES
150 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984-5041
Phone number: 305-956-9030
Copy
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