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1053537035
AUDREY LEE JERNIGAN
ST AUGUSTINE, FL
NPI
1053537035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: FL 35509)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
MISS AUDREY LEE JERNIGAN LMT
212 SAN MARCO AVE
ST AUGUSTINE, FL 32084-2773
Phone number: 904-392-5399
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Mailing Address
MISS AUDREY LEE JERNIGAN LMT
54 MACARIS ST
ST AUGUSTINE, FL 32084-2164
Phone number: 904-392-5399
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