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1396807467
IRENE LOISE NICELY
JACKSONVILLE, FL
NPI
1396807467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5157580)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
Ms. IRENE LOISE NICELY lpn
1111 CRESTDALE ST
JACKSONVILLE, FL 32211-5709
Phone number: 904-710-1011
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Mailing Address
Ms. IRENE LOISE NICELY lpn
1111 CRESTDALE ST
JACKSONVILLE, FL 32211-5709
Phone number: 904-710-1011
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