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1023148244
JAN K CORNELIUS
TAMPA, FL
NPI
1023148244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: FL 12140)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Dr. JAN K CORNELIUS D.D.S.
2401 S DALE MABRY HWY
TAMPA, FL 33629-6845
Phone number: 813-254-4568
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Mailing Address
Dr. JAN K CORNELIUS D.D.S.
2401 S DALE MABRY HWY
TAMPA, FL 33629-6845
Phone number:
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