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1114778685
LASANIA RICHARDS
JACKSONVILLE, FL
NPI
1114778685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11027184)
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
LASANIA RICHARDS
8309 SOUTHSIDE BLVD
JACKSONVILLE, FL 32256-8403
Phone number: 904-234-5910
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Mailing Address
LASANIA RICHARDS
10281 MAGNOLIA HILLS DR
JACKSONVILLE, FL 32210-4993
Phone number:
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