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1790009157
MATTIE BELL THOMAS
JACKSONVILLE, FL
NPI
1790009157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320700000X Residential Treatment Facility, Physical Disabilities
(Licence: FL 320700000X)
Enumeration Date
2010-03-15
Last Update Date
2010-03-15
Business Address
-- MATTIE BELL THOMAS non medical
2220 BELVEDERE ST
JACKSONVILLE, FL 32208-2152
Phone number: 904-764-0593
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Mailing Address
-- MATTIE BELL THOMAS non medical
2220 BELVEDERE ST
JACKSONVILLE, FL 32208-2152
Phone number: 904-764-0593
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