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1780086553
JUDITH BARRET DOUGLAS
LAKELAND, FL
NPI
1780086553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6906660)
Enumeration Date
2014-09-23
Last Update Date
2014-09-23
Business Address
-- JUDITH BARRET DOUGLAS
3988 HAMPTON HILLS DR
LAKELAND, FL 33810-3841
Phone number: 863-868-8758
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Mailing Address
-- JUDITH BARRET DOUGLAS
3988 HAMPTON HILLS DR
LAKELAND, FL 33810-3841
Phone number: 863-868-8758
Copy
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