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1164454799
JESSE A FAXAS
MIAMI, FL
NPI
1164454799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL ARNP 2115682)
Enumeration Date
2006-07-06
Last Update Date
2013-05-07
Business Address
-- JESSE A FAXAS ARNP
336 NW 5TH ST
MIAMI, FL 33128-1616
Phone number: 305-577-4840
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Mailing Address
-- JESSE A FAXAS ARNP
336 NW 5TH ST
MIAMI, FL 33128-1616
Phone number: 305-577-4840
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