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Individual

ANGEL CHRISTINE JURICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1200 RIVERPLACE BLVD 620, JACKSONVILLE, FL 32207-1803
(904) 396-6620
(904) 396-6528
Mailing address
1200 RIVERPLACE BLVD 620, JACKSONVILLE, FL 32207-1803
(904) 396-6620
(904) 396-6528

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108136
FL

Other

Enumeration date
09/02/2014
Last updated
09/22/2015
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