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1619189198
JOSEPH LIONEL RIVAS
JACKSONVILLE, FL
NPI
1619189198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
Mr. JOSEPH LIONEL RIVAS IDC
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-3441
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Mailing Address
Mr. JOSEPH LIONEL RIVAS IDC
7925 GULF RD S
JACKSONVILLE, FL 32244-2524
Phone number: 904-771-2211
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