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1730716648
PAMELA KELLAM GREEN
JACKSONVILLE, FL
NPI
1730716648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: FL 688784896)
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
Mrs. PAMELA KELLAM GREEN
6986 JACK HORNER LN
JACKSONVILLE, FL 32210-3620
Phone number: 904-710-9662
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Mailing Address
Mrs. PAMELA KELLAM GREEN
4575 ST. JOHNS AVENUE SUITE # 4
JACKSONVILLE, FL 32210
Phone number: 904-710-9662
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