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1619114154
WINSOME POWELL
PORT SAINT LUCIE, FL
NPI
1619114154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
Additional Taxonomies
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2009-01-20
Last Update Date
2009-01-20
Business Address
-- WINSOME POWELL
2394 SW KENT CIR
PORT SAINT LUCIE, FL 34953-5707
Phone number: 772-361-5648
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Mailing Address
-- WINSOME POWELL
2394 SW KENT CIR
PORT SAINT LUCIE, FL 34953-5707
Phone number: 772-361-5648
Copy
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