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Individual

HAROLD DELOSSANTOS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
9253 HAWKS RUN LN, JACKSONVILLE, FL 32222-2803
(904) 610-5874
Mailing address
9253 HAWKS RUN LN, JACKSONVILLE, FL 32222-2803
(904) 610-5874

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9273339
FL

Other

Enumeration date
05/15/2023
Last updated
05/15/2023
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