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1659674893
DAWN RAE MACK
BRADENTON, FL
NPI
1659674893
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Former Name
DAWN RAE PAUL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6906357)
Enumeration Date
2010-12-09
Last Update Date
2010-12-09
Business Address
Mrs. DAWN RAE MACK
2104 55TH AVE W
BRADENTON, FL 34207-3240
Phone number: 941-727-7304
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Mailing Address
Mrs. DAWN RAE MACK
2104 55TH AVE W
BRADENTON, FL 34207-3240
Phone number: 941-727-7304
Copy
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