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1538512017
LATOYA JACKSON
CORAL SPRINGS, FL
NPI
1538512017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 9281900)
Enumeration Date
2016-07-19
Last Update Date
2020-01-15
Business Address
LATOYA JACKSON
1500 N UNIVERSITY DR STE 202
CORAL SPRINGS, FL 33071-6072
Phone number: 954-546-3142
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Mailing Address
LATOYA JACKSON
1500 N UNIVERSITY DR STE 202
CORAL SPRINGS, FL 33071-6072
Phone number: 954-546-3142
Copy
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