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1063105096
JAKE MICHAEL ROUSE
JACKSONVILLE, FL
NPI
1063105096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2023-05-26
Last Update Date
2024-04-22
Business Address
JAKE MICHAEL ROUSE DO
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214-5000
Phone number: 904-610-5253
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Mailing Address
JAKE MICHAEL ROUSE DO
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214-5000
Phone number:
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