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1265993091
JACKIE RENEE MANNING
LAKE CITY, FL
NPI
1265993091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11001650)
Enumeration Date
2019-03-26
Last Update Date
2019-03-26
Business Address
JACKIE RENEE MANNING ARNP
789 W DUVAL ST
LAKE CITY, FL 32055-3811
Phone number: 386-755-5044
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Mailing Address
JACKIE RENEE MANNING ARNP
191 E OHIO AVE
MACCLENNY, FL 32063-2137
Phone number: 904-545-0509
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