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1063495281
JEFFREY D RICKETTS
JACKSONVILLE, FL
NPI
1063495281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9103298)
Enumeration Date
2005-11-22
Last Update Date
2018-05-10
Business Address
JEFFREY D RICKETTS PA
836 PRUDENTIAL DR STE 1804
JACKSONVILLE, FL 32207
Phone number: 904-398-3888
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Mailing Address
JEFFREY D RICKETTS PA
1824 KING ST STE 200
JACKSONVILLE, FL 32204-4736
Phone number: 904-384-3343
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