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1144655143
STEPHANIE BURGESS CHAVES
JACKSONVILLE, FL
NPI
1144655143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN20398)
Enumeration Date
2013-09-09
Last Update Date
2014-12-10
Business Address
-- STEPHANIE BURGESS CHAVES D.D.S.
10601 SAN JOSE BLVD SUITE 116
JACKSONVILLE, FL 32257-8232
Phone number: 904-483-3027
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Mailing Address
-- STEPHANIE BURGESS CHAVES D.D.S.
2054 RIVERSIDE AVE APT. 5207
JACKSONVILLE, FL 32204-4428
Phone number: 304-290-2722
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