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Individual

CAROLYN DENISE FRAZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4707 W MARLBORO CIR, JACKSONVILLE, FL 32206-6143
(904) 768-6741
Mailing address
4707 W MARLBORO CIR, JACKSONVILLE, FL 32206-6143
(904) 768-6741

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
231671
FL
372600000X
Adult Companion
231671
FL
376J00000X
Homemaker
231671
FL

Other

Enumeration date
12/06/2011
Last updated
12/06/2011
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