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1528788932
DWAIN J HENRY
JACKSONVILLE, FL
NPI
1528788932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: FL 31810062)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
DWAIN J HENRY
1248 EDGEWOOD AVE W # 1
JACKSONVILLE, FL 32208-2768
Phone number: 904-755-5209
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Mailing Address
DWAIN J HENRY
1248 EDGEWOOD AVE W # 1
JACKSONVILLE, FL 32208-2768
Phone number: 904-904-7555
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