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1801421193
ELESIA S FORD
GAINESVILLE, FL
NPI
1801421193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5242794)
Enumeration Date
2020-03-06
Last Update Date
2020-03-06
Business Address
ELESIA S FORD
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
ELESIA S FORD
4300 SW 13TH STREET HR CREDENTIALING
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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