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1205289303
ABIGAIL LEE MAZINGO
FERNANDINA BEACH, FL
NPI
1205289303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 9357794)
Enumeration Date
2016-07-13
Last Update Date
2016-07-13
Business Address
-- ABIGAIL LEE MAZINGO ARNP
1250 S 18TH ST 202
FERNANDINA BEACH, FL 32034-1902
Phone number: 904-277-4690
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Mailing Address
-- ABIGAIL LEE MAZINGO ARNP
2019 ATLANTIC AVE
FERNANDINA BEACH, FL 32034-2703
Phone number:
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