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1841746658
TERRELL IRVIN
DAYTONA BEACH, FL
NPI
1841746658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- TERRELL IRVIN
240 N. FREDERICK AVE
DAYTONA BEACH, FL 32114
Phone number: 386-255-5569
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Mailing Address
-- TERRELL IRVIN
240 N. FREDERICK AVE
DAYTONA BEACH, FL 32114
Phone number: 386-255-5569
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