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1629823349
NELSON MEDINA CANCIO
PORT ST LUCIE, FL
NPI
1629823349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-04-17
Last Update Date
2024-04-19
Business Address
NELSON MEDINA CANCIO
1798 SW BRADWAY LN
PORT ST LUCIE, FL 34953-1621
Phone number: 786-930-0548
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Mailing Address
NELSON MEDINA CANCIO
1798 SW BRADWAY LN
PORT ST LUCIE, FL 34953-1621
Phone number: 786-930-0548
Copy
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