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1710504725
GLADYS ELENA HATEM
JACKSONVILLE, FL
NPI
1710504725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11007713)
Enumeration Date
2020-06-25
Last Update Date
2020-08-06
Business Address
Mrs. GLADYS ELENA HATEM APRN
836 PRUDENTIAL DR STE 802
JACKSONVILLE, FL 32207-8335
Phone number: 904-202-8290
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Mailing Address
Mrs. GLADYS ELENA HATEM APRN
PO BOX 44047
JACKSONVILLE, FL 32231-4047
Phone number: 904-376-3240
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