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Individual

LAUREN SWANN CORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 390-3600
(904) 390-3502
Mailing address
PO BOX 5720, JACKSONVILLE, FL 32247-5720
(904) 288-5630

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1425
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
241800236A
GA
05
600539000
FL
Enumeration date
07/06/2007
Last updated
06/06/2008
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