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1710764253
NICOLE CAROLYN LAFAILLE
JACKSONVILLE, FL
NPI
1710764253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
NICOLE CAROLYN LAFAILLE
11820 SAGEBRUSH CT
JACKSONVILLE, FL 32218-3647
Phone number: 850-533-5626
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Mailing Address
NICOLE CAROLYN LAFAILLE
11820 SAGEBRUSH CT
JACKSONVILLE, FL 32218-3647
Phone number: 850-533-5626
Copy
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