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1104359215
JENNIFER BANUELOS
FORT MYERS, FL
NPI
1104359215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL ARNP9227695)
Enumeration Date
2017-04-05
Last Update Date
2024-01-18
Business Address
JENNIFER BANUELOS ARNP
43 BARKLEY CIR STE 201
FORT MYERS, FL 33907-7518
Phone number: 239-936-5250
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Mailing Address
JENNIFER BANUELOS ARNP
3372 WOODS EDGE CIR STE 101
BONITA SPRINGS, FL 34134-3436
Phone number: 239-799-7873
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