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1194941773
NORTHWEST BHVRL HLTH SVS,INC
JACKSONVILLE, FL
NPI
1194941773
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Entity Type
Organization
Authorized Contact
PATRICIA SAMPSON
Executive Director
904-781-7797
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2007-04-18
Last Update Date
2008-09-09
Business Address
NORTHWEST BHVRL HLTH SVS,INC
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254-1725
Phone number: 904-781-7797
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Mailing Address
NORTHWEST BHVRL HLTH SVS,INC
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254-1725
Phone number: 904-781-7797
Copy
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