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1265871172
JUSTIN JAMES TENNYSON
FORT MYERS, FL
NPI
1265871172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA MT204008)
Enumeration Date
2013-06-24
Last Update Date
2021-03-31
Business Address
JUSTIN JAMES TENNYSON M.D.
2776 CLEVELAND AVE
FORT MYERS, FL 33901-5864
Phone number: 239-343-2606
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Mailing Address
JUSTIN JAMES TENNYSON M.D.
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-2606
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