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1003969627
MIKE J PRIMEAUX
JACKSONVILLE, FL
NPI
1003969627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TN 12392)
Enumeration Date
2007-01-18
Last Update Date
2018-03-17
Business Address
Mr. MIKE J PRIMEAUX APRN-BC
10601 SAN JOSE BLVD STE 208
JACKSONVILLE, FL 32257-8203
Phone number: 904-379-5052
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Mailing Address
Mr. MIKE J PRIMEAUX APRN-BC
10601 SAN JOSE BLVD STE 208
JACKSONVILLE, FL 32257-8203
Phone number: 904-379-5052
Copy
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