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Individual
MRS. JEANINE SMITH MCNEILL
Active
Individual
MRS. JEANINE SMITH MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
676582396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141671500
OSS
FL
05
—
676582396
—
FL
05
—
676582398
—
FL
Enumeration date
03/16/2009
Last updated
03/16/2009
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