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Individual

CLARRISSA BOLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2703 N PONCE DE LEON BLVD, ST AUGUSTINE, FL 32084-2603
(904) 824-2838
Mailing address
2703 N PONCE DE LEON BLVD, ST AUGUSTINE, FL 32084-2603
(904) 824-2838

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
121466
FL

Other

Enumeration date
06/15/2026
Last updated
06/15/2026
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