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MRS. MAMIE FAITH PETERSON-MCLAURN

>> Home Health >> Agencies

Registrant NPI Number: 1770931636

Individual Registrant:
MRS. MAMIE FAITH PETERSON-MCLAURN 
Gender: F
Sole Proprietor

Location and contact information for practice:
2747 SOPHIA ST  JAX, FL 32254 US
Tel: 904-662-1155  Fax: --

Contact information for business:
PO BOX 9251  JACKSONVILLE, FL 32208 US
Tel: 904-662-1155  Fax: --

Registration Information:
NPI: 1770931636
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251E00000XAgencies
Home Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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