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1558868117
ELZA VAN NIEKERK
JACKSONVILLE, FL
NPI
1558868117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL PT33366)
Enumeration Date
2018-04-10
Last Update Date
2020-01-28
Business Address
ELZA VAN NIEKERK PT
869 STOCKTON ST STE 300
JACKSONVILLE, FL 32204-3588
Phone number: 904-504-3226
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Mailing Address
ELZA VAN NIEKERK PT
8680 BAYMEADOWS RD E APT 1235
JACKSONVILLE, FL 32256-3997
Phone number: 904-504-3226
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