SAMUEL SMALL

JACKSONVILLE, FL
NPI1568914174
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2016-10-30
Last Update Date2016-10-30
Business Address
MR. SAMUEL SMALL
3606 JACOB LOIS DR
JACKSONVILLE, FL 32218-2970
Phone number: 904-483-1870
Mailing Address
MR. SAMUEL SMALL
3606 JACOB LOIS DR
JACKSONVILLE, FL 32218-2970
Phone number:
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