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1598547481
IHOR IHOROVYCH SUSAK
JACKSONVILLE, FL
NPI
1598547481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11027667)
Enumeration Date
2023-10-16
Last Update Date
2023-10-16
Business Address
IHOR IHOROVYCH SUSAK
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4331
Phone number: 904-222-6656
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Mailing Address
IHOR IHOROVYCH SUSAK
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4331
Phone number: 904-222-6656
Copy
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