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1467719518
KETURAH CHAMBLISS
PORT ST LUCIE, FL
NPI
1467719518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2012-04-13
Last Update Date
2018-03-17
Business Address
MRS. KETURAH CHAMBLISS MS
10850 S US HIGHWAY 1 STE 2
PORT ST LUCIE, FL 34952-6407
Phone number: 772-463-0444
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Mailing Address
MRS. KETURAH CHAMBLISS MS
5407 EAGLE DR
FORT PIERCE, FL 34951-2376
Phone number:
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