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1205118452
LACRESA LARAE CITIZEN
JACKSONVILLE, FL
NPI
1205118452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL 9321193)
Enumeration Date
2011-09-14
Last Update Date
2011-09-14
Business Address
-- LACRESA LARAE CITIZEN RN
1171 LANE AVE S APT 1504
JACKSONVILLE, FL 32205-6293
Phone number: 904-924-4129
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Mailing Address
-- LACRESA LARAE CITIZEN RN
1171 LANE AVE S APT 1504
JACKSONVILLE, FL 32205-6293
Phone number: 904-924-4129
Copy
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