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1790347979
LEDA MOE
JACKSONVILLE, FL
NPI
1790347979
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Former Name
LEDA HANSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: FL 000000)
Enumeration Date
2019-07-08
Last Update Date
2022-08-02
Business Address
LEDA MOE APRN
3625 UNIVERSITY BLVD. S.
JACKSONVILLE, FL 32216-4207
Phone number: 904-702-6089
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Mailing Address
LEDA MOE APRN
2040 PARADISE OAKS CT.
JACKSONVILLE, FL 32233
Phone number: 904-415-2705
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