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1073383345
JOURDAN ASHLEY CLUM
LAKE CITY, FL
NPI
1073383345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL APRN11030275)
Enumeration Date
2024-01-08
Last Update Date
2024-01-08
Business Address
JOURDAN ASHLEY CLUM ARNP
1859 SW NEWLAND WAY
LAKE CITY, FL 32025-6966
Phone number: 386-758-0003
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Mailing Address
JOURDAN ASHLEY CLUM ARNP
19851 NW 257TH TER
HIGH SPRINGS, FL 32643-2044
Phone number: 135-272-7165
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