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1992331151
JERELYNE DE CASTRO IDICA
JACKSONVILLE, FL
NPI
1992331151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT18327)
Enumeration Date
2020-03-19
Last Update Date
2020-09-21
Business Address
JERELYNE DE CASTRO IDICA
7801 POINT MEADOWS DR UNIT 1102
JACKSONVILLE, FL 32256-9134
Phone number: 973-931-6186
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Mailing Address
JERELYNE DE CASTRO IDICA
147 RYAN DR
PALM COAST, FL 32164-6486
Phone number: 973-931-6186
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