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1639848450
AMPLAA BEHAVIORAL HEALTH
ORANGE PARK, FL
NPI
1639848450
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Entity Type
Organization
Authorized Contact
GERRY LEE SURRENCY
Owner
904-300-4341
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2021-09-07
Last Update Date
2021-09-08
Business Address
AMPLAA BEHAVIORAL HEALTH
1895 KINGSLEY AVE STE 403
ORANGE PARK, FL 32073-4453
Phone number: 904-300-4341
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Mailing Address
AMPLAA BEHAVIORAL HEALTH
1895 KINGSLEY AVE STE 403
ORANGE PARK, FL 32073-4453
Phone number: 904-300-4341
Copy
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