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1316523772
LAYTON WIEMER
JACKSONVILLE, FL
NPI
1316523772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL 7894)
Enumeration Date
2021-03-23
Last Update Date
2021-06-25
Business Address
LAYTON WIEMER
655 W 8TH ST
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-0411
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Mailing Address
LAYTON WIEMER
4326 OKLAWAHA LN
NEW PORT RICHEY, FL 34655-1634
Phone number: 727-247-6867
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