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1427561463
MALLISSA NEWTON
PORT SAINT LUCIE, FL
NPI
1427561463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center Developmental Disabilities
Enumeration Date
2017-11-13
Last Update Date
2018-12-17
Business Address
MALLISSA NEWTON
2081 SW KASIM TER
PORT SAINT LUCIE, FL 34953-2163
Phone number: 772-333-0728
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Mailing Address
MALLISSA NEWTON
2081 SW KASIM TER
PORT SAINT LUCIE, FL 34953-2163
Phone number:
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