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1700828373
LAVIDA J THOMAS-RICHARDSON
JACKSONVILLE, FL
NPI
1700828373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME86296)
Enumeration Date
2006-06-11
Last Update Date
2009-10-07
Business Address
LAVIDA J THOMAS-RICHARDSON MD
9580 APPLECROSS RD STE 106
JACKSONVILLE, FL 32222-5843
Phone number: 904-778-9180
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Mailing Address
LAVIDA J THOMAS-RICHARDSON MD
2517 MOMENTUM PL
CHICAGO, IL 60689-0001
Phone number: 904-778-9180
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