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1275820557
DIANA LYNN SPROUSE
JACKSONVILLE, FL
NPI
1275820557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS47535)
Enumeration Date
2011-07-07
Last Update Date
2015-10-28
Business Address
Dr. DIANA LYNN SPROUSE Pharm.D.
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209-6525
Phone number: 904-475-5800
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Mailing Address
Dr. DIANA LYNN SPROUSE Pharm.D.
12502 SUN PALM DR
JACKSONVILLE, FL 32225-5835
Phone number: 616-250-0286
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