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Individual

MRS. BIANCA LEFAYE MCCLENDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IDC

Contact information

Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7300
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7300

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
06/26/2014
Last updated
01/14/2026
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