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1619546454
LAUREN RUSSELL PROSTROLLO
JACKSONVILLE, FL
NPI
1619546454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL UO7731)
Enumeration Date
2021-06-24
Last Update Date
2021-06-24
Business Address
Dr. LAUREN RUSSELL PROSTROLLO DO
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204-4717
Phone number: 904-308-7372
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Mailing Address
Dr. LAUREN RUSSELL PROSTROLLO DO
2627 RIVERSIDE AVE
JACKSONVILLE, FL 32204-4717
Phone number: 904-308-7372
Copy
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