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1821314683
CATHLEEN HELENA SOUTHALL
JACKSONVILLE, FL
NPI
1821314683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL ARNP9232015)
Enumeration Date
2010-04-19
Last Update Date
2021-04-22
Business Address
Mrs. CATHLEEN HELENA SOUTHALL ARNP
2606 PARK ST
JACKSONVILLE, FL 32204-4520
Phone number: 904-388-4646
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Mailing Address
Mrs. CATHLEEN HELENA SOUTHALL ARNP
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: 904-388-4646
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