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1811353782
MARY SOUTHWELL
TAMPA, FL
NPI
1811353782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: FL Al12719)
Enumeration Date
2016-01-07
Last Update Date
2016-01-07
Business Address
Mrs. MARY SOUTHWELL
2601 CAMPUS HILL DR
TAMPA, FL 33612-4722
Phone number: 813-978-8203
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Mailing Address
Mrs. MARY SOUTHWELL
1472 LAKE SHORE RANCH DR
SEFFNER, FL 33584-5562
Phone number: 813-503-2441
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