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1902041080
ANTONIO DEON DALE
MOBILE, AL
NPI
1902041080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities
Enumeration Date
2008-12-03
Last Update Date
2008-12-03
Business Address
ANTONIO DEON DALE
544 SINGLETON ST
MOBILE, AL 36610-4725
Phone number: 251-456-7589
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Mailing Address
ANTONIO DEON DALE
PO BOX 13726
MOBILE, AL 36663-0726
Phone number: 251-456-7589
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