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1578069209
LACENDIA MITCHELL
JACKSONVILLE, FL
NPI
1578069209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date
2018-04-02
Last Update Date
2018-04-02
Business Address
LACENDIA MITCHELL
11036 LYDIA ESTATES DR W
JACKSONVILLE, FL 32218-6937
Phone number: 904-305-1608
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Mailing Address
LACENDIA MITCHELL
11036 LYDIA ESTATES DR W
JACKSONVILLE, FL 32218-6937
Phone number: 904-305-1608
Copy
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