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1316038847
SANDRA B LAURENCIN
JACKSONVILLE, FL
NPI
1316038847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME95041)
Enumeration Date
2006-09-28
Last Update Date
2022-05-31
Business Address
SANDRA B LAURENCIN M.D.
532 RIVERSIDE AVE STE 103
JACKSONVILLE, FL 32202-4914
Phone number: 904-353-5696
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Mailing Address
SANDRA B LAURENCIN M.D.
PO BOX 45443
SALT LAKE CITY, UT 84145-0443
Phone number: 904-202-1032
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