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1346862091
TANECIA L VIRGIL
LAKE CITY, FL
NPI
1346862091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: FL CNA15938)
Enumeration Date
2020-05-15
Last Update Date
2020-05-15
Business Address
TANECIA L VIRGIL
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 386-487-0800
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Mailing Address
TANECIA L VIRGIL
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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