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1770059008
LESLIE SHANNAN WEAVER
JACKSONVILLE, FL
NPI
1770059008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL ARNP9180832)
Enumeration Date
2018-10-14
Last Update Date
2020-04-01
Business Address
LESLIE SHANNAN WEAVER ARNP
1301 PALM AVE
JACKSONVILLE, FL 32207-8432
Phone number: 904-202-7300
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Mailing Address
LESLIE SHANNAN WEAVER ARNP
PO BOX 45278
JACKSONVILLE, FL 32232-5278
Phone number: 904-202-2092
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