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1487199147
LISA WAVES OF CARE
FORT PIERCE, FL
NPI
1487199147
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Entity Type
Organization
Authorized Contact
LISA MCCUTCHEN
President
772-332-7625
Organization Subpart ?
No
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2017-01-04
Last Update Date
2017-01-04
Business Address
LISA WAVES OF CARE
3403 AVENUE J
FORT PIERCE, FL 34947-2341
Phone number: 772-332-7625
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Mailing Address
LISA WAVES OF CARE
3403 AVENUE J
FORT PIERCE, FL 34947-2341
Phone number:
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