626568,"JoAnn","Marie","Lee","EE",849371,"110712","110616","NNAF"," 158153640","UPD","N","33 Alhambra St","","Ponte Vedra Beach","FL","320820000","9048918610","Lee","4776 Hodges Blvd","","Jacksonville","FL","322240000","9046232126","070154","","R","","","","",""