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1912344003
CANDIE DAVIS RICHARDSON
HAVANA, FL
NPI
1912344003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6905367)
Enumeration Date
2013-05-29
Last Update Date
2013-05-29
Business Address
Mrs. CANDIE DAVIS RICHARDSON LPN
1748 IRON BRIDGE RD
HAVANA, FL 32333-5294
Phone number: 850-539-3865
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Mailing Address
Mrs. CANDIE DAVIS RICHARDSON LPN
1748 IRON BRIDGE RD
HAVANA, FL 32333-5294
Phone number: 850-539-3865
Copy
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