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1184468357
BASIL JAN
JACKSONVILLE, FL
NPI
1184468357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN28716)
Enumeration Date
2024-06-22
Last Update Date
2024-06-22
Business Address
BASIL JAN
5491 DOLPHIN POINT BLVD
JACKSONVILLE, FL 32211-3221
Phone number: 904-312-0960
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Mailing Address
BASIL JAN
12517 BEACH BLVD
JACKSONVILLE, FL 32246-7191
Phone number: 904-312-0960
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