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1801324454
PHYLLIS THERESA ROSE
JACKSONVILLE, FL
NPI
1801324454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2017-05-26
Last Update Date
2017-05-26
Business Address
PHYLLIS THERESA ROSE NA
7406 FULLERTON ST STE 200
JACKSONVILLE, FL 32256-3597
Phone number: 904-538-0440
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Mailing Address
PHYLLIS THERESA ROSE NA
18320 NE 20TH CT
NORTH MIAMI BEACH, FL 33179-5010
Phone number: 305-979-0931
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