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Individual

CLARA CHANLEY H DUDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2121 PARK ST, JACKSONVILLE, FL 32204-3811
(904) 387-6200
Mailing address
2121 PARK ST, JACKSONVILLE, FL 32204-3811
(904) 387-6200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
251156
FL

Other

Enumeration date
06/11/2009
Last updated
01/07/2014
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