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1548328305
JEAN RUBENS DANTILUS
PORT ST LUCIE, FL
NPI
1548328305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: FL 691510896)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2006-12-05
Last Update Date
2007-07-09
Business Address
Mr. JEAN RUBENS DANTILUS
555 NW TWYLITE TER
PORT ST LUCIE, FL 34983-1144
Phone number: 772-979-0288
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Mailing Address
Mr. JEAN RUBENS DANTILUS
555 NW TWYLITE TER
PORT ST LUCIE, FL 34983-1144
Phone number: 772-871-9270
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