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Individual

JAZMIN Y MCGUIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.A.

Contact information

Practice address
125 BASIN ST, SUITE 110, DAYTONA BEACH, FL 32114-5078
(386) 252-9282
Mailing address
1074 E HANCOCK DR, DELTONA, FL 32725-6424
(407) 545-1822

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
218277
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004029700
FL
Enumeration date
10/10/2011
Last updated
10/10/2011
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