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1508001850
LILLIAM RIVERA
JACKSONVILLE, FL
NPI
1508001850
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Entity Type
Organization
Authorized Contact
LILLIAM RIVERA
RN
904-783-3009
Organization Subpart ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL RN9200441)
Enumeration Date
2008-12-15
Last Update Date
2008-12-15
Business Address
LILLIAM RIVERA
2236 BRIAN LAKES DR. E
JACKSONVILLE, FL 32221
Phone number: 904-783-3009
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Mailing Address
LILLIAM RIVERA
2236 BRIAN LAKES DR E
JACKSONVILLE, FL 32221-3844
Phone number: 904-783-3009
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