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1043593221
ELAINE JIMENEZ
TAMPA, FL
NPI
1043593221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2011-09-23
Last Update Date
2011-09-23
Business Address
-- ELAINE JIMENEZ IDMT
1811 MOBILITY LN
TAMPA, FL 33621-1500
Phone number: 940-337-1647
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Mailing Address
-- ELAINE JIMENEZ IDMT
1811 MOBILITY LANE
TAMPA, FL 33621
Phone number: 940-337-1647
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