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1760868301
MIZELL LIGON MAIS
PALM BAY, FL
NPI
1760868301
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Former Name
MIZELL LIGON MAIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: FL cna39448)
Enumeration Date
2015-08-05
Last Update Date
2015-08-05
Business Address
-- MIZELL LIGON MAIS CNA
1245 PALM BAY RD U 104
PALM BAY, FL 32905-7620
Phone number: 727-953-2226
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Mailing Address
-- MIZELL LIGON MAIS CNA
1245 PALM BAY RD U 104
PALM BAY, FL 32905-7620
Phone number: 727-953-2226
Copy
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