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1336259886
JERE MAMMINO
OVIEDO, FL
NPI
1336259886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: FL OS6033)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- JERE MAMMINO DO
1410 W BROADWAY ST STE 102
OVIEDO, FL 32765-6537
Phone number: 407-359-2100
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Mailing Address
-- JERE MAMMINO DO
2600 LAKE LUCIEN DR STE 180
MAITLAND, FL 32751-7235
Phone number: 407-875-2080
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