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1669617619
SUSAN GORODETZKY TEMPLO
JACKSONVILLE, FL
NPI
1669617619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP91123-2)
Enumeration Date
2008-12-04
Last Update Date
2008-12-04
Business Address
Ms. SUSAN GORODETZKY TEMPLO ARNP
4331 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4909
Phone number: 904-731-2755
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Mailing Address
Ms. SUSAN GORODETZKY TEMPLO ARNP
4331 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4909
Phone number: 904-731-2755
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