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1891337655
DAEGAVINCHRIS,LLC
PORT ST LUCIE, FL
NPI
1891337655
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Entity Type
Organization
Authorized Contact
CLAUDINE GEORGE
Owner
772-626-1002
Organization Subpart ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
Enumeration Date
2019-10-14
Last Update Date
2020-05-08
Business Address
DAEGAVINCHRIS,LLC
4574 SW TABOR ST
PORT ST LUCIE, FL 34953-6740
Phone number: 772-626-1002
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Mailing Address
DAEGAVINCHRIS,LLC
4574 SW TABOR ST
PORT ST LUCIE, FL 34953-6740
Phone number: 772-626-1002
Copy
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