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1760984553
EDMOND LOUIS METELLUS
PORT ST LUCIE, FL
NPI
1760984553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
EDMOND LOUIS METELLUS
525 NW LAKE WHITNEY PL STE 102
PORT ST LUCIE, FL 34986-1605
Phone number: 772-337-8164
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Mailing Address
EDMOND LOUIS METELLUS
419 SW CRABAPPLE CV
PORT ST LUCIE, FL 34986-2329
Phone number: 978-340-0839
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