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1457175036
ALTAGRACIA RODRIGUEZ
JACKSONVILLE, FL
NPI
1457175036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6907124)
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
ALTAGRACIA RODRIGUEZ
8043 SAN JOSE BLVD
JACKSONVILLE, FL 32217-3515
Phone number: 929-313-1665
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Mailing Address
ALTAGRACIA RODRIGUEZ
8043 SAN JOSE BLVD
JACKSONVILLE, FL 32217-3515
Phone number: 929-313-1665
Copy
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