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1174100556
SHEEJA JACOB
SAINT CLOUD, FL
NPI
1174100556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL APRN11012005)
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
SHEEJA JACOB APRN
2801 13TH ST
SAINT CLOUD, FL 34769-4134
Phone number: 407-483-3571
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Mailing Address
SHEEJA JACOB APRN
3744 MARIETTA WAY
SAINT CLOUD, FL 34772-8710
Phone number: 407-520-9377
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