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1417429523
SAMANTHA JUANITA VICKERS
JACKSONVILLE, FL
NPI
1417429523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL APRN11000749)
Enumeration Date
2018-12-31
Last Update Date
2024-04-09
Business Address
Dr. SAMANTHA JUANITA VICKERS DNP, CRNA
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4207
Phone number: 904-702-6111
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Mailing Address
Dr. SAMANTHA JUANITA VICKERS DNP, CRNA
47 LOGGERHEAD LN
PONTE VEDRA, FL 32082-2585
Phone number: 315-651-0047
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