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1558526145
GAYNELL L LIVINGSTON-HODGES
JACKSONVILLE, FL
NPI
1558526145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: FL 6933335-96)
Enumeration Date
2008-07-23
Last Update Date
2008-07-23
Business Address
Ms. GAYNELL L LIVINGSTON-HODGES medicaid provider
1320 BROAD ST SUITE # 202
JACKSONVILLE, FL 32202-3902
Phone number: 904-358-9487
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Mailing Address
Ms. GAYNELL L LIVINGSTON-HODGES medicaid provider
1320 BROAD STN SUITE # 202
JACKSONVILLE, FL 32202
Phone number: 904-358-9487
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