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1215059829
LINDA LOU TISDALE
JACKSONVILLE, FL
NPI
1215059829
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Other Name
LINDA LOU LEAKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9220367)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
-- LINDA LOU TISDALE ARNP
1760 EDGEWOOD AVE W
JACKSONVILLE, FL 32208-7209
Phone number: 904-301-4900
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Mailing Address
-- LINDA LOU TISDALE ARNP
215 E 6TH ST
JACKSONVILLE, FL 32206-4505
Phone number: 904-356-1630
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