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1487278180
MARIO R TELFAIR
POINCIANA, FL
NPI
1487278180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6907018)
Enumeration Date
2020-05-29
Last Update Date
2020-06-01
Business Address
MARIO R TELFAIR
301 SHAD WAY
POINCIANA, FL 34759-4730
Phone number: 727-492-3685
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Mailing Address
MARIO R TELFAIR
301 SHAD WAY
POINCIANA, FL 34759-4730
Phone number: 727-492-3685
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