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1386385177
KIALA DENISE LATTA
JACKSONVILLE, FL
NPI
1386385177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11017243)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
KIALA DENISE LATTA DNP
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209-6525
Phone number: 904-475-5800
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Mailing Address
KIALA DENISE LATTA DNP
12527 AMERICAN EAGLE WAY
JACKSONVILLE, FL 32225-0838
Phone number: 904-502-1197
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