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Individual

SUSAN SHURINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8019 BAYBERRY RD, 8019 BAYBERRY RD., JACKSONVILLE, FL 32256-7411
(904) 443-6647
Mailing address
8019 BAYBERRY RD, JM FAMILY COMPANY, JACKSONVILLE, FL 32256-7411
(904) 443-6647

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
401071
FL

Other

Enumeration date
05/06/2015
Last updated
05/06/2015
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