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1750440988
BLACK BAG MEDICAL INC
JACKSONVILLE, FL
NPI
1750440988
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Entity Type
Organization
Authorized Contact
BRIAN LAYNE STEPHENS
President
904-371-4051
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-12-06
Last Update Date
2020-08-22
Business Address
BLACK BAG MEDICAL INC
4320 DEERWOOD LAKE PKWY SUITE 101, PMB 321
JACKSONVILLE, FL 32216-1177
Phone number: 904-371-4051
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Mailing Address
BLACK BAG MEDICAL INC
4320 DEERWOOD LAKE PKWY SUITE 101, PMB 321
JACKSONVILLE, FL 32216-1177
Phone number: 904-371-4051
Copy
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