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1972235448
EMILY IVY PAINTER
JACKSONVILLE, FL
NPI
1972235448
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Former Name
EMILY IVY GONZALEZ-ORTEGA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
Additional Taxonomies
224P00000X Prosthetist
Enumeration Date
2022-06-24
Last Update Date
2022-06-24
Business Address
EMILY IVY PAINTER CPO
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209-6525
Phone number: 904-881-4721
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Mailing Address
EMILY IVY PAINTER CPO
3342 GREEN ST
JACKSONVILLE, FL 32205-5712
Phone number: 904-881-4721
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