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1205507704
TECIA RAE DEJESUS
FORT MYERS, FL
NPI
1205507704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0200X Registered Nurse Critical Care Medicine
(Licence: FL 9575465)
Enumeration Date
2021-09-23
Last Update Date
2021-09-23
Business Address
TECIA RAE DEJESUS RN
350 CHAMPION RING RD
FORT MYERS, FL 33905
Phone number: 239-313-2900
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Mailing Address
TECIA RAE DEJESUS RN
911 SE 10TH ST APT 2B
CAPE CORAL, FL 33990-3050
Phone number: 239-699-3317
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