Individual
MARY J MCDOUGAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1832 SUNCHASE CT, JACKSONVILLE, FL 32246-0500
(904) 564-2001
(904) 564-2001
Mailing address
1832 SUNCHASE CT, JACKSONVILLE, FL 32246-0500
(904) 564-2001
(904) 564-2001
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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