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Individual

MRS. ETHEL BERNADINE JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1110 E DIXIE AVE, LEESBURG, FL 34748-6079
(352) 504-1327
Mailing address
1110 E DIXIE AVE, LEESBURG, FL 34748-6079
(352) 504-1327

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
03/24/2017
Last updated
03/24/2017
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