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Individual

MR. ROBERT LANARD JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3047 MIKRIS DR E, JACKSONVILLE, FL 32225-7607
(772) 267-2317
(904) 619-6065
Mailing address
3047 MIKRIS DR E, JACKSONVILLE, FL 32225-7607
(772) 267-2317
(904) 619-6065

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106205000
FL
Enumeration date
05/05/2020
Last updated
07/21/2022
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