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1174197164
JAVAN ETTIENE
MIRAMAR, FL
NPI
1174197164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11013397)
Enumeration Date
2021-05-14
Last Update Date
2021-06-11
Business Address
JAVAN ETTIENE
7904 LASALLE BLVD
MIRAMAR, FL 33023-4500
Phone number: 954-934-4265
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Mailing Address
JAVAN ETTIENE
7904 LASALLE BLVD
MIRAMAR, FL 33023-4500
Phone number: 954-934-4265
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