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1609559848
LAUREN DERSTINE
JACKSONVILLE, FL
NPI
1609559848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: FL AA834)
Enumeration Date
2023-08-14
Last Update Date
2023-10-18
Business Address
LAUREN DERSTINE CRNA
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207-8211
Phone number: 904-202-2000
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Mailing Address
LAUREN DERSTINE CRNA
4825 TRAWLER CT
JACKSONVILLE, FL 32225-4038
Phone number: 904-521-7300
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