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1821501156
PHILIPPE ALEXANDER
PORT ST LUCIE, FL
NPI
1821501156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2017-11-08
Last Update Date
2017-11-08
Business Address
PHILIPPE ALEXANDER
6365 NW REGAL CIR
PORT ST LUCIE, FL 34983-5358
Phone number: 772-370-4639
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Mailing Address
PHILIPPE ALEXANDER
6365 NW REGAL CIR
PORT ST LUCIE, FL 34983-5358
Phone number: 772-370-4639
Copy
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