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1912424888
MARIAH WRINKLE
JACKSONVILLE, FL
NPI
1912424888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-08-23
Last Update Date
2022-07-21
Business Address
MARIAH WRINKLE
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4207
Phone number: 904-235-0470
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Mailing Address
MARIAH WRINKLE
PO BOX 370
FORTSON, GA 31808-0370
Phone number:
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