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Individual

ANNE LESLIE CORDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
841 PRUDENTIAL DR, SUITE 180, JACKSONVILLE, FL 32207-8329
(904) 202-4243
(904) 376-3746
Mailing address
841 PRUDENTIAL DR, SUITE 180, JACKSONVILLE, FL 32207-8329
(904) 202-4243
(904) 376-3746

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
PS22495
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS22495
FL

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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