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1912378191
TYESIA DENNIS
JACKSONVILLE, FL
NPI
1912378191
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Entity Type
Organization
Authorized Contact
TYESIA SHAKIMA DENNIS
Owner
904-343-6349
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2015-10-13
Last Update Date
2015-10-13
Business Address
TYESIA DENNIS
6155 LONGCHAMP DR APT D
JACKSONVILLE, FL 32244-5141
Phone number: 904-343-6349
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Mailing Address
TYESIA DENNIS
6155 LONGCHAMP DR APT D
JACKSONVILLE, FL 32244-5141
Phone number: 904-343-6349
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