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1518904028
ANITA A MARTIN
JACKSONVILLE, FL
NPI
1518904028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND0000005)
Enumeration Date
2006-06-01
Last Update Date
2007-07-08
Business Address
Ms. ANITA A MARTIN LD/N
900 UNIVERSITY BLVD N
JACKSONVILLE, FL 32211-9203
Phone number: 904-665-2292
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Mailing Address
Ms. ANITA A MARTIN LD/N
515 W 6TH ST MC #24
JACKSONVILLE, FL 32206-4324
Phone number: 904-665-2410
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