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Individual

LISA DAILY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(912) 537-8713
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
05010860A
IN

Other

Enumeration date
04/21/2015
Last updated
04/21/2015
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