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1487499133
LACI LEE BOREM
JACKSONVILLE, FL
NPI
1487499133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: FL 424325)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
LACI LEE BOREM
655 W 8TH ST
JACKSONVILLE, FL 32209-6511
Phone number: 904-749-1553
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Mailing Address
LACI LEE BOREM
4317 ROCK PIGEON LN
MIDDLEBURG, FL 32068-8756
Phone number: 904-749-6063
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