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1891108171
CECILIA HOUSE
JACKSONVILLE, FL
NPI
1891108171
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Former Name
CECILIA BALOCCO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS14875)
Enumeration Date
2014-06-04
Last Update Date
2022-09-06
Business Address
Miss CECILIA HOUSE D.O.
12311 SAN JOSE BLVD
JACKSONVILLE, FL 32223-2673
Phone number: 904-262-7211
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Mailing Address
Miss CECILIA HOUSE D.O.
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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