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1437761830
JOHANNA I GATES
JACKSONVILLE, FL
NPI
1437761830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
(Licence: FL 236942)
Enumeration Date
2020-08-18
Last Update Date
2021-08-12
Business Address
JOHANNA I GATES RN
15379 SPOTTED STALLION TRL
JACKSONVILLE, FL 32234-2397
Phone number: 904-802-5267
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Mailing Address
JOHANNA I GATES RN
8576 ARLINGTON EXPY
JACKSONVILLE, FL 32211-8003
Phone number: 904-802-5267
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