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1922592864
DEADRA L NISBETH-LEWIS
PORT ST LUCIE, FL
NPI
1922592864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-14
Last Update Date
2018-06-14
Business Address
DEADRA L NISBETH-LEWIS
2312 SW IMPORT DR
PORT ST LUCIE, FL 34953-5796
Phone number: 772-207-8588
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Mailing Address
DEADRA L NISBETH-LEWIS
2312 SW IMPORT DR
PORT ST LUCIE, FL 34953-5796
Phone number:
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