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1487990503
LESLIE SMITH
JACKSONVILLE, FL
NPI
1487990503
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Former Name
LESLIE GILLIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 9203170)
Enumeration Date
2012-12-18
Last Update Date
2021-07-21
Business Address
Mrs. LESLIE SMITH ARNP-BC
12675 BEACH BLVD #101
JACKSONVILLE, FL 32246
Phone number: 904-204-1541
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Mailing Address
Mrs. LESLIE SMITH ARNP-BC
1202 PALMER TER
JACKSONVILLE, FL 32207-8939
Phone number: 813-541-8911
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