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1497928659
LAVETTA A MCCOY
JACKSONVILLE, FL
NPI
1497928659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND4949)
Enumeration Date
2008-04-09
Last Update Date
2008-04-09
Business Address
-- LAVETTA A MCCOY RD, LD/N
5150 TIMUQUANA RD.
JACKSONVILLE, FL 32210-8959
Phone number: 904-253-1510
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Mailing Address
-- LAVETTA A MCCOY RD, LD/N
5150-9 TIMUQUANA RD.
JACKSONVILLE, FL 32210-8959
Phone number: 904-253-1510
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