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1356602312
MARYANN TASONG
JACKSONVILLE, FL
NPI
1356602312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11005208)
Enumeration Date
2012-06-06
Last Update Date
2020-05-22
Business Address
MARYANN TASONG
5811 ATLANTIC BLVD UNIT 875811
JACKSONVILLE, FL 32207-2214
Phone number: 770-756-1151
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Mailing Address
MARYANN TASONG
5811 ATLANTIC BLVD UNIT 875811
JACKSONVILLE, FL 32207-2214
Phone number: 770-756-1151
Copy
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