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1912629965
LESLIE BEATY
JACKSONVILLE, FL
NPI
1912629965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL PRN11012030)
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
LESLIE BEATY APRN
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4207
Phone number: 904-702-6111
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Mailing Address
LESLIE BEATY APRN
12427 MESA VERDE TRL
JACKSONVILLE, FL 32223-3295
Phone number: 931-409-3675
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