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1194554535
ALEX JOSEPH LIBOON RUSTIA
JACKSONVILLE, FL
NPI
1194554535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN29444)
Enumeration Date
2024-08-01
Last Update Date
2024-08-01
Business Address
Dr. ALEX JOSEPH LIBOON RUSTIA DMD
7451 103RD ST STE 18
JACKSONVILLE, FL 32210-6789
Phone number: 904-777-4622
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Mailing Address
Dr. ALEX JOSEPH LIBOON RUSTIA DMD
281 CROSS RIDGE DR
PONTE VEDRA, FL 32081-8445
Phone number: 908-670-6108
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