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Individual

KETCHINE DEBROSSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5111 WHITE CHICORY DR, APOLLO BEACH, FL 33572-3544
(630) 366-9238
Mailing address
5111 WHITE CHICORY DR, APOLLO BEACH, FL 33572-3544
(630) 366-9238

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
FL

Other

Enumeration date
01/23/2022
Last updated
01/23/2022
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