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Licenses
Medical Practice
Florida
4248
NICOLE BASILE, LEE
Medical Practice at Hodges Blvd, Jacksonville, FL
License number
Florida 4248
Issued Date
Jul 31, 1998
Effective Date
Nov 30, 1999
Expiration Date
Aug 31, 1999
Category
Health Care
Type
Clinical Laboratory Trainee
Address
Address
4090 Hodges Blvd, Jacksonville, FL 32223
Phone
(904) 223-1315
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CARMELO CALDERONE
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ROBERT P DIZOR
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