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1124636154
TAMRA COFFEE MIKELL
JACKSONVILLE, FL
NPI
1124636154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
TAMRA COFFEE MIKELL
2875 TATE CT
JACKSONVILLE, FL 32218-8873
Phone number: 904-258-9778
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Mailing Address
TAMRA COFFEE MIKELL
2875 TATE CT
JACKSONVILLE, FL 32218-8873
Phone number: 904-258-9778
Copy
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