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1396020608
KNIESHA KATHERINE SCRUGGS
JACKSONVILLE, FL
NPI
1396020608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: FL 37)
Enumeration Date
2011-10-18
Last Update Date
2011-10-18
Business Address
-- KNIESHA KATHERINE SCRUGGS
1461 STEELE ST
JACKSONVILLE, FL 32209-6263
Phone number: 904-415-9228
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Mailing Address
-- KNIESHA KATHERINE SCRUGGS
6982 CLEARWATER PARK CT S
JACKSONVILLE, FL 32244-7809
Phone number: 904-415-9228
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