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1568718153
CHERYL DOUGLAS
LEHIGH ACRES, FL
NPI
1568718153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility Adult Care Home
(Licence: FL 6906497)
Enumeration Date
2012-08-01
Last Update Date
2012-08-01
Business Address
CHERYL DOUGLAS
919 COMMODORE ST
LEHIGH ACRES, FL 33974-4550
Phone number: 239-303-4637
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Mailing Address
CHERYL DOUGLAS
919 COMMODORE ST
LEHIGH ACRES, FL 33974-4550
Phone number: 239-303-4637
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