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1568047140
LAQUITTA S BOUKNIGHT-RIVERS
JACKSONVILLE, FL
NPI
1568047140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Additional Taxonomies
251E00000X Home Health
Enumeration Date
2021-03-15
Last Update Date
2021-03-15
Business Address
LAQUITTA S BOUKNIGHT-RIVERS
12620 BEACH BLVD STE 3
JACKSONVILLE, FL 32246-7130
Phone number: 904-463-3771
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Mailing Address
LAQUITTA S BOUKNIGHT-RIVERS
12620 BEACH BLVD, SUITE 3 UNIT 322
JACKSONVILLE, FL 32246-7130
Phone number: 904-463-3771
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