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1922168491
LISA RICHARDSON
FLEMING ISLAND, FL
NPI
1922168491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN3165542)
Enumeration Date
2006-12-12
Last Update Date
2022-01-27
Business Address
LISA RICHARDSON APRN
1681 EAGLE HARBOR PKWY STE B
FLEMING ISLAND, FL 32003-4819
Phone number: 904-644-0092
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Mailing Address
LISA RICHARDSON APRN
PO BOX 551308
JACKSONVILLE, FL 32255-1308
Phone number: 904-493-3333
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