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1518959857
CHARLES LEE HARKNESS
JACKSONVILLE, FL
NPI
1518959857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS0004463)
Enumeration Date
2005-08-22
Last Update Date
2007-07-08
Business Address
Mr. CHARLES LEE HARKNESS D.O.
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204-4712
Phone number: 904-308-7372
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Mailing Address
Mr. CHARLES LEE HARKNESS D.O.
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204-4712
Phone number: 904-308-7372
Copy
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