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Individual

SHONTEE M KOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNA

Contact information

Practice address
1745 W 28TH ST, JACKSONVILLE, FL 32209-3712
(904) 226-4266
Mailing address
1745 W 28TH ST, JACKSONVILLE, FL 32209-3712
(904) 226-4266

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
258751
FL
374U00000X
Home Health Aide
FL
376J00000X
Homemaker
2875414
FL
376K00000X
Nurse's Aide
Primary
178494
FL

Other

Enumeration date
12/02/2010
Last updated
12/02/2010
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