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Individual

QURANDUS GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5240498
FL

Other

Enumeration date
03/04/2015
Last updated
08/08/2019
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