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1265660054
AGENCY ONE PROVIDER, INC
JACKSONVILLE, FL
NPI
1265660054
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Entity Type
Organization
Authorized Contact
VICKY RENEE GREEN
President
904-651-8325
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2009-06-30
Last Update Date
2009-06-30
Business Address
AGENCY ONE PROVIDER, INC
3380 CATAMARAN WAY
JACKSONVILLE, FL 32223-7362
Phone number: 904-651-8325
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Mailing Address
AGENCY ONE PROVIDER, INC
3380 CATAMARAN WAY
JACKSONVILLE, FL 32223-7362
Phone number: 904-651-8325
Copy
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