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Individual

AQUILLA LYNETTE CRIBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
905 ASSISI LN, JACKSONVILLE, FL 32233-2972
(904) 667-3660
(904) 240-4429
Mailing address
7244 ANGELA DR, JACKSONVILLE, FL 32222-1936
(904) 652-3791

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26506
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26506
LICENSE
FL
Enumeration date
06/13/2019
Last updated
06/13/2019
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