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1275513871
NH JAX
JACKSONVILLE, FL
NPI
1275513871
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Entity Type
Organization
Authorized Contact
RAQUEL BONO
Commanding Officer
904-542-7300
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A64120)
Enumeration Date
2006-01-19
Last Update Date
2008-07-17
Business Address
NH JAX
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-7975
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Mailing Address
NH JAX
627 CARRACK DR
SAINT MARYS, GA 31558-2600
Phone number:
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