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1750917001
STACY PATREACE GODWIN
JACKSONVILLE, FL
NPI
1750917001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5217349)
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
STACY PATREACE GODWIN LPN WCC
7082 SAINT IVES CT
JACKSONVILLE, FL 32244-0300
Phone number: 904-306-6623
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Mailing Address
STACY PATREACE GODWIN LPN WCC
7082 SAINT IVES CT
JACKSONVILLE, FL 32244-0300
Phone number: 904-306-6623
Copy
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