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1639560170
JONATHAN MAKYLE HOLTZCLAW
GAINESVILLE, FL
NPI
1639560170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL 5194216)
Enumeration Date
2015-02-05
Last Update Date
2015-02-05
Business Address
Mr. JONATHAN MAKYLE HOLTZCLAW
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
Mr. JONATHAN MAKYLE HOLTZCLAW
21809 93RD DR
O BRIEN, FL 32071-2601
Phone number: 386-243-1054
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