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1932848025
MARCUS JERMAINE GREEN
JACKSONVILLE, FL
NPI
1932848025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251C00000X Day Training, Developmentally Disabled Services
Enumeration Date
2022-05-27
Last Update Date
2022-05-27
Business Address
MARCUS JERMAINE GREEN
1544 W 25TH ST
JACKSONVILLE, FL 32209-4282
Phone number: 904-616-2764
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Mailing Address
MARCUS JERMAINE GREEN
1544 W 25TH ST
JACKSONVILLE, FL 32209-4282
Phone number: 904-616-2764
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