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1851738900
JEANNA MICHELLE LONG
SARASOTA, FL
NPI
1851738900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: FL OTA10991)
Enumeration Date
2013-05-30
Last Update Date
2013-05-30
Business Address
-- JEANNA MICHELLE LONG COTA/L
743 S BENEVA RD
SARASOTA, FL 34231-2411
Phone number: 941-953-9612
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Mailing Address
-- JEANNA MICHELLE LONG COTA/L
743 S BENEVA RD
SARASOTA, FL 34231-2411
Phone number: 941-953-9612
Copy
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