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1639561160
JOY SUSAN PENDERGRASS
FERNANDINA BEACH, FL
NPI
1639561160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9364981)
Enumeration Date
2015-02-20
Last Update Date
2015-02-20
Business Address
Mrs. JOY SUSAN PENDERGRASS FNP,BC
536 SPANISH WAY W
FERNANDINA BEACH, FL 32034-9244
Phone number: 904-310-9468
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Mailing Address
Mrs. JOY SUSAN PENDERGRASS FNP,BC
536 SPANISH WAY W
FERNANDINA BEACH, FL 32034-9244
Phone number: 904-310-9468
Copy
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