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Individual

JEFF ROBERT DUKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
439 SW MICHIGAN ST, LAKE CITY, FL 32025-0440
(180) 033-0561
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5181048
FL

Other

Enumeration date
06/03/2015
Last updated
06/03/2015
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