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1235596461
JACQUELYN FREEMAN
PORT ST LUCIE, FL
NPI
1235596461
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Former Name
JACQUELYN STEMBRIDGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9109326)
Enumeration Date
2016-01-19
Last Update Date
2020-10-13
Business Address
JACQUELYN FREEMAN PA
10050 SW INNOVATION WAY STE 102
PORT ST LUCIE, FL 34987-2117
Phone number: 772-288-5862
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Mailing Address
JACQUELYN FREEMAN PA
PO BOX 9033
STUART, FL 34995-9033
Phone number: 772-223-2832
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