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1821689985
ELIZABETH INEZ SHIDEMANTLE
MELBOURNE, FL
NPI
1821689985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2021-02-01
Last Update Date
2021-02-01
Business Address
Ms. ELIZABETH INEZ SHIDEMANTLE BS MS CAC
1600 SARNO RD STE 3
MELBOURNE, FL 32935-4992
Phone number: 321-622-6290
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Mailing Address
Ms. ELIZABETH INEZ SHIDEMANTLE BS MS CAC
105 W SEMINOLE AVE APT 1
MELBOURNE, FL 32901-2933
Phone number: 321-339-8560
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