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1548478332
JASMINE ENRIQUEZ
WEST LAFAYETTE BRA, IN
NPI
1548478332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
(Licence: IN 31004393A)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Mrs. JASMINE ENRIQUEZ O.T
3401 SOLDIERS HOME RD
WEST LAFAYETTE BRA, IN 47906-1222
Phone number: 765-463-1541
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Mailing Address
Mrs. JASMINE ENRIQUEZ O.T
3576 CAVENDISH CT
WEST LAFAYETTE BRA, IN 47906-0813
Phone number: 765-463-1403
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