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1770971376
JIMMY MEMNON
GAINESVILLE, FL
NPI
1770971376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-01-05
Last Update Date
2015-01-05
Business Address
-- JIMMY MEMNON
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
-- JIMMY MEMNON
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
Copy
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