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1326681198
LATASHA R BURGESS
JACKSONVILLE, FL
NPI
1326681198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2019-10-23
Last Update Date
2019-10-23
Business Address
LATASHA R BURGESS
13720 OLD SAINT AUGUSTINE RD STE 8-236
JACKSONVILLE, FL 32258-7414
Phone number: 866-974-6632
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Mailing Address
LATASHA R BURGESS
13720 OLD ST AUGUSTINE RD STE 8-236
JACKSONVILLE, FL 32258-7414
Phone number: 866-974-6632
Copy
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