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1356080618
DERRIYAN LANAE PRICE
JACKSONVILLE, FL
NPI
1356080618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2022-06-03
Last Update Date
2023-05-20
Business Address
DERRIYAN LANAE PRICE DO
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214-5000
Phone number: 904-542-7300
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Mailing Address
DERRIYAN LANAE PRICE DO
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214-5001
Phone number: 337-251-1982
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