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1942857230
AGELET ST.HUBERT
JACKSONVILLE, FL
NPI
1942857230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6906603)
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
AGELET ST.HUBERT AFCH Provider
764 AQUA SURF CT
JACKSONVILLE, FL 32225-0802
Phone number: 904-554-6051
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Mailing Address
AGELET ST.HUBERT AFCH Provider
764 AQUA SURF CT
JACKSONVILLE, FL 32225-0802
Phone number: 904-554-6051
Copy
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