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1871108274
SOUTHERN MAGNOLIA HEALTH AND WELLNESS LLC
ORMOND BEACH, FL
NPI
1871108274
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Entity Type
Organization
Authorized Contact
HOPE A KING
Owner/Ap RN
407-590-0377
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
SOUTHERN MAGNOLIA HEALTH AND WELLNESS LLC
533 N NOVA RD STE 209
ORMOND BEACH, FL 32174-4422
Phone number: 407-590-0377
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Mailing Address
SOUTHERN MAGNOLIA HEALTH AND WELLNESS LLC
490 N YONGE ST
ORMOND BEACH, FL 32174-5252
Phone number: 407-590-0377
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