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1497933618
ALICIA LASSALLE
STUART, FL
NPI
1497933618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: FL 041237759)
Enumeration Date
2008-02-11
Last Update Date
2008-02-11
Business Address
-- ALICIA LASSALLE RN ,CCM
3501 SE WILLOUGHBY BLVD
STUART, FL 34994-5059
Phone number: 772-288-0304
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Mailing Address
-- ALICIA LASSALLE RN ,CCM
3501 SE WILLOUGHBY BLVD
STUART, FL 34994-5059
Phone number: 772-288-0304
Copy
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