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1588087951
STEPHANIE'S FAMILY
LAKE WORTH, FL
NPI
1588087951
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Entity Type
Organization
Authorized Contact
DEXTER D HEAD
Pracitice Manager
772-219-4041
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2014-01-21
Last Update Date
2014-03-19
Business Address
STEPHANIE'S FAMILY
3613 COCONUT RD
LAKE WORTH, FL 33461-3585
Phone number: 561-502-0305
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Mailing Address
STEPHANIE'S FAMILY
3613 COCONUT RD
LAKE WORTH, FL 33461-3585
Phone number: 561-502-0305
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