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1609108372
LAREE PRUITT MOODY
JACKSONVILLE, FL
NPI
1609108372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0400X Registered Nurse Case Management
(Licence: FL RN9298774)
Enumeration Date
2010-02-05
Last Update Date
2010-02-05
Business Address
MS. LAREE PRUITT MOODY RN
910 N JEFFERSON ST
JACKSONVILLE, FL 32209-6810
Phone number: 904-360-7070
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Mailing Address
MS. LAREE PRUITT MOODY RN
910 N JEFFERSON ST
JACKSONVILLE, FL 32209-6810
Phone number: 904-360-7070
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