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1518910322
LISA RENEE MUTH
JACKSONVILLE, FL
NPI
1518910322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP2218732)
Enumeration Date
2006-05-19
Last Update Date
2007-07-08
Business Address
-- LISA RENEE MUTH A.R.N.P.
7900 BELFORT PKWY SUITE 300
JACKSONVILLE, FL 32256-6931
Phone number: 904-281-0107
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Mailing Address
-- LISA RENEE MUTH A.R.N.P.
3355 CLAIRE LN #1604
JACKSONVILLE, FL 32223-6677
Phone number: 904-880-1496
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