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1700847001
MA. CONCEPCION MENDOZA PRUDENCIO
JACKSONVILLE, FL
NPI
1700847001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME68745)
Enumeration Date
2006-03-28
Last Update Date
2007-08-29
Business Address
Dr. MA. CONCEPCION MENDOZA PRUDENCIO MD
910 N JEFFERSON ST
JACKSONVILLE, FL 32209-6810
Phone number: 904-359-3842
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Mailing Address
Dr. MA. CONCEPCION MENDOZA PRUDENCIO MD
PO BOX 44008 UFJP
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3500
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