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1124070446
MARY MARGARET BAZALDUA
JACKSONVILLE, FL
NPI
1124070446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9234572)
Enumeration Date
2006-05-16
Last Update Date
2007-07-08
Business Address
-- MARY MARGARET BAZALDUA ARNP
6817 SOUTHPOINT PKWY SUITE 2304
JACKSONVILLE, FL 32216-6282
Phone number: 904-296-1874
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Mailing Address
-- MARY MARGARET BAZALDUA ARNP
4049 MCGIRTS BLVD
JACKSONVILLE, FL 32210-4340
Phone number: 812-480-3420
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