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1689914749
ELRIDGE DAIGLE
RIVERVIEW, FL
NPI
1689914749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6906187)
Enumeration Date
2013-02-26
Last Update Date
2013-02-26
Business Address
-- ELRIDGE DAIGLE
10507 SEDGEBROOK DR
RIVERVIEW, FL 33569-8701
Phone number: 813-672-3880
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Mailing Address
-- ELRIDGE DAIGLE
10507 SEDGEBROOK DR
RIVERVIEW, FL 33569-8701
Phone number: 813-672-3880
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