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Individual

JASMINE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
803 DORA DR, ORANGE PARK, FL 32073-8759
(904) 373-4091
Mailing address
803 DORA DR, ORANGE PARK, FL 32073-8759
(904) 373-4091

Taxonomy

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

Other

Enumeration date
02/03/2021
Last updated
02/03/2021
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