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1710551890
DIWANNA P LAKES
MIAMI GARDENS, FL
NPI
1710551890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
DIWANNA P LAKES
20400 NW 24TH AVE
MIAMI GARDENS, FL 33056-1530
Phone number: 786-317-0220
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Mailing Address
DIWANNA P LAKES
20400 NW 24TH AVE
MIAMI GARDENS, FL 33056-1530
Phone number: 786-317-0220
Copy
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