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Individual

MRS. TOYA TMOUR SPROUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PBT

Contact information

Practice address
200 RIVERSIDE AVE, UNIT 1010, JACKSONVILLE, FL 32202-4999
(904) 335-8331
Mailing address
200 RIVERSIDE AVE, UNIT 1010, JACKSONVILLE, FL 32202-4999
(904) 335-8331

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
06/10/2011
Last updated
03/07/2022
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