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1952910200
DARIELLE SHANETTE BERRIAN
LAKELAND, FL
NPI
1952910200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
Ms. DARIELLE SHANETTE BERRIAN
1548 GEORGETOWN DR
LAKELAND, FL 33811
Phone number: 863-605-4266
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Mailing Address
Ms. DARIELLE SHANETTE BERRIAN
1548 GEORGETOWN DR
LAKELAND, FL 33811
Phone number: 863-605-4266
Copy
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