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1952714404
IVAN MALDONADO
JACKSONVILLE, FL
NPI
1952714404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness
(Licence: FL AL8958)
Enumeration Date
2014-06-03
Last Update Date
2014-06-03
Business Address
-- IVAN MALDONADO
6320 ARLINGTON RD
JACKSONVILLE, FL 32211-5430
Phone number: 904-743-9069
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Mailing Address
-- IVAN MALDONADO
6320 ARLINGTON RD
JACKSONVILLE, FL 32211-5430
Phone number: 904-743-9069
Copy
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