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1386041820
JAN CRUZ
PORT ST LUCIE, FL
NPI
1386041820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP 9252008)
Enumeration Date
2014-11-27
Last Update Date
2014-11-27
Business Address
-- JAN CRUZ
1596 SW HUNNICUT AVE
PORT ST LUCIE, FL 34953-7006
Phone number: 772-233-2560
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Mailing Address
-- JAN CRUZ
1596 SW HUNNICUT AVE
PORT ST LUCIE, FL 34953-7006
Phone number: 772-233-2560
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