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1649947417
DEMETRICE LANE
ST PETERSBURG, FL
NPI
1649947417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
DEMETRICE LANE
4050 CENTRAL AVE
ST PETERSBURG, FL 33711-1239
Phone number: 727-327-7656
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Mailing Address
DEMETRICE LANE
PO BOX 10970
ST PETERSBURG, FL 33733-0970
Phone number: 727-327-7656
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