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1073147914
KEMISHA LATOYA MATHIS
JACKSONVILLE, FL
NPI
1073147914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
(Licence: FL 238188)
Additional Taxonomies
376G00000X Nursing Home Administrator
Enumeration Date
2020-03-01
Last Update Date
2021-12-28
Business Address
KEMISHA LATOYA MATHIS
2279 W 2ND ST
JACKSONVILLE, FL 32209-6906
Phone number: 850-851-6363
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Mailing Address
KEMISHA LATOYA MATHIS
2279 W 2ND ST
JACKSONVILLE, FL 32209-6906
Phone number: 850-851-6363
Copy
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