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Individual

LYUBOV PETROVNA KOMAROVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10918 MERRYWOOD DR, JACKSONVILLE, FL 32256-1524
(890) 201-8349
(904) 410-3672
Mailing address
10918 MERRYWOOD DR, JACKSONVILLE, FL 32256-1524
(904) 203-8349

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
09/16/2017
Last updated
09/16/2017
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