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1821532243
LAWANZA LLANOS
TAMPA, FL
NPI
1821532243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility Adult Care Home
(Licence: FL 6906889)
Enumeration Date
2016-12-05
Last Update Date
2016-12-05
Business Address
LAWANZA LLANOS
1911 E 143RD AVE
TAMPA, FL 33613-2536
Phone number: 813-562-3555
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Mailing Address
LAWANZA LLANOS
1911 E 143RD AVE
TAMPA, FL 33613-2536
Phone number: 813-562-3555
Copy
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