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1780658617
JANE ELLEN HENRY
ST AUGUSTINE, FL
NPI
1780658617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 3000182)
Enumeration Date
2006-02-15
Last Update Date
2023-01-24
Business Address
Mrs. JANE ELLEN HENRY APRN
580 STATE ROAD 206 WEST
ST AUGUSTINE, FL 32086
Phone number: 954-695-3643
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Mailing Address
Mrs. JANE ELLEN HENRY APRN
580 STATE ROAD 206 WEST
ST AUGUSTINE, FL 32086
Phone number: 954-695-3643
Copy
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