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1518425081
ANNETTE SIMMONS
PORT CHARLOTTE, FL
NPI
1518425081
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Former Name
ANNETTE ROBERTS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility Adult Care Home
Enumeration Date
2019-03-04
Last Update Date
2019-03-04
Business Address
ANNETTE SIMMONS
1292 DORCHESTER ST
PORT CHARLOTTE, FL 33954
Phone number: 813-514-5333
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Mailing Address
ANNETTE SIMMONS
1292 DORCHESTER ST
PORT CHARLOTTE, FL 33954
Phone number: 813-514-5333
Copy
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