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1114752466
JENNA LAUREN REBECK
PORT CHARLOTTE, FL
NPI
1114752466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 1103632)
Enumeration Date
2024-09-05
Last Update Date
2024-10-30
Business Address
JENNA LAUREN REBECK APRN
1931 TAMIAMI TRL STE 4-6
PORT CHARLOTTE, FL 33948-2181
Phone number: 941-888-0560
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Mailing Address
JENNA LAUREN REBECK APRN
2434 STRAWBERRY TER
NORTH PORT, FL 34286-3923
Phone number: 941-301-9317
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