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1780232207
FULTON GIBBS WELLNESS, LLC
JACKSONVILLE, FL
NPI
1780232207
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Entity Type
Organization
Authorized Contact
ELIZABETH G BAGAN
President
904-454-4937
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
FULTON GIBBS WELLNESS, LLC
8825 PERIMETER PARK BLVD STE 102
JACKSONVILLE, FL 32216-1127
Phone number: 904-454-4937
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Mailing Address
FULTON GIBBS WELLNESS, LLC
731 DUVAL STATION RD STE 107-204
JACKSONVILLE, FL 32218-0800
Phone number: 904-454-4937
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