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1548739840
MENIOLLENNE ALEXIS
JACKSONVILLE, FL
NPI
1548739840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA15637)
Enumeration Date
2018-11-15
Last Update Date
2018-11-15
Business Address
MENIOLLENNE ALEXIS
4613 PHILIPS HWY STE 209
JACKSONVILLE, FL 32207-7290
Phone number: 904-701-3512
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Mailing Address
MENIOLLENNE ALEXIS
9675 OLD BAYMEADOWS RD APT 13
JACKSONVILLE, FL 32256-7908
Phone number: 786-704-3769
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