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1700426509
DETRISH SPEED ROBERTS
COCOA, FL
NPI
1700426509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
DETRISH SPEED ROBERTS
1050 BRISTOL DR
COCOA, FL 32922-6710
Phone number: 321-403-3998
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Mailing Address
DETRISH SPEED ROBERTS
1050 BRISTOL DR
COCOA, FL 32922-6710
Phone number: 321-403-3998
Copy
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