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1447610928
SHAKITA MARIA WAGNER
JACKSONVILLE, FL
NPI
1447610928
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Former Name
SHAKITA MARIA WILLIAMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5213896)
Enumeration Date
2016-02-26
Last Update Date
2016-02-26
Business Address
-- SHAKITA MARIA WAGNER
1455 CARPATHIAN DR
JACKSONVILLE, FL 32218-7974
Phone number: 904-524-7263
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Mailing Address
-- SHAKITA MARIA WAGNER
1455 CARPATHIAN DR
JACKSONVILLE, FL 32218-7974
Phone number: 904-524-7263
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