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1073286498
JESSICA M LOPEZ FONTANEZ
SARASOTA, FL
NPI
1073286498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11013145)
Enumeration Date
2021-07-30
Last Update Date
2021-07-30
Business Address
JESSICA M LOPEZ FONTANEZ
5605 MAUNA LOA BLVD UNIT 113
SARASOTA, FL 34240-8942
Phone number: 813-534-8196
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Mailing Address
JESSICA M LOPEZ FONTANEZ
5605 MAUNA LOA BLVD UNIT 113
SARASOTA, FL 34240-8942
Phone number: 813-534-8196
Copy
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