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1992115547
ANGELA KELLY
JACKSONVILLE, FL
NPI
1992115547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL 6906432)
Enumeration Date
2014-05-05
Last Update Date
2014-05-05
Business Address
-- ANGELA KELLY
720 VALLEY FORGE RD
JACKSONVILLE, FL 32208-3566
Phone number: 904-405-9681
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Mailing Address
-- ANGELA KELLY
720 VALLEY FORGE RD
JACKSONVILLE, FL 32208-3566
Phone number: 904-405-9681
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