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1376278978
JENALYN VICTORIA LICEA
MIDDLEBURG, FL
NPI
1376278978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11020852)
Enumeration Date
2022-07-19
Last Update Date
2022-08-01
Business Address
JENALYN VICTORIA LICEA APRN
2050 FARM WAY
MIDDLEBURG, FL 32068-6796
Phone number: 864-334-7227
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Mailing Address
JENALYN VICTORIA LICEA APRN
2050 FARM WAY
MIDDLEBURG, FL 32068-6796
Phone number: 864-334-7227
Copy
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