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1962082693
DIVINA MERCADO PRIDHAM
JACKSONVILLE, FL
NPI
1962082693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11012297)
Enumeration Date
2021-04-08
Last Update Date
2024-06-18
Business Address
Mrs. DIVINA MERCADO PRIDHAM PMHNP
555 STOCKTON ST
JACKSONVILLE, FL 32204-2534
Phone number: 904-547-9468
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Mailing Address
Mrs. DIVINA MERCADO PRIDHAM PMHNP
1335 RYAR RD
JACKSONVILLE, FL 32216-2802
Phone number: 904-651-4525
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