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1730774142
SALUD PRIMARY CARE LLC
JACKSONVILLE, FL
NPI
1730774142
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Entity Type
Organization
Authorized Contact
JOHANNA RUSSELL
Owner
904-625-2644
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
SALUD PRIMARY CARE LLC
1126 UNIVERSITY BLVD N STE 3105
JACKSONVILLE, FL 32211-8850
Phone number: 904-625-2644
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Mailing Address
SALUD PRIMARY CARE LLC
379 TINTAMARRE DR
SAINT AUGUSTINE, FL 32092-1102
Phone number: 904-625-2644
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