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Organization
JOANN DENEMARK INC.
Active
Organization
JOANN DENEMARK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN C DENEMARK M.S., CCC-SLP (OWNER)
(904) 233-9672
Entity
Organization
Contact information
Practice address
114 VANDERFORD RD N, ORANGE PARK, FL 32073-5968
(904) 233-9672
Mailing address
114 VANDERFORD RD N, ORANGE PARK, FL 32073-5968
(904) 233-9672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6704
FL
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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