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1316191745
CORNELIA M. MCCULLOUGH
JACKSONVILLE, FL
NPI
1316191745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP3228512)
Enumeration Date
2008-11-12
Last Update Date
2010-05-26
Business Address
Mrs. CORNELIA M. MCCULLOUGH ARNP
1255 LILA ST UFJAX - LEM TURNER FAMILY MEDICINE
JACKSONVILLE, FL 32208-3550
Phone number: 904-383-1001
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Mailing Address
Mrs. CORNELIA M. MCCULLOUGH ARNP
PO BOX 44008 UFJP - PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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