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Organization
LEARNINGRX ST JOHNS, LLC
Active
Organization
LEARNINGRX ST JOHNS, LLC
Active
Other names
LearningRx St Johns
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI FONTAINE BCCS (DIRECTOR)
(904) 540-1850
Entity
Organization
Contact information
Practice address
113 NATURE WALK PKWY UNIT 103, SAINT AUGUSTINE, FL 32092-3066
(904) 719-8416
Mailing address
113 NATURE WALK PKWY UNIT 103, SAINT AUGUSTINE, FL 32092-3066
(904) 719-8416
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NULL
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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