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1134965049
JAMES WESLEY BRASSEAL
JACKSONVILLE, FL
NPI
1134965049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL 11047)
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
JAMES WESLEY BRASSEAL RD
6138 CLEARSKY DR
JACKSONVILLE, FL 32258-8430
Phone number: 904-868-0826
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Mailing Address
JAMES WESLEY BRASSEAL RD
6138 CLEARSKY DR
JACKSONVILLE, FL 32258-8430
Phone number: 904-868-0826
Copy
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