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Organization
EBK BEAUTY
Active
Organization
EBK BEAUTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KOBE ELLIS (CEO)
(904) 392-1278
Entity
Organization
Contact information
Practice address
9283 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5584
(904) 392-1278
Mailing address
9283 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5584
(904) 392-1278
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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