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1407505779
JESSICA DEKLAVON
PEMBROKE PINES, FL
NPI
1407505779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL Pa9115460)
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
JESSICA DEKLAVON
9840 SHERIDAN ST APT 203
PEMBROKE PINES, FL 33024-3059
Phone number: 954-673-6881
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Mailing Address
JESSICA DEKLAVON
9840 SHERIDAN ST APT 203
PEMBROKE PINES, FL 33024-3059
Phone number: 954-673-6881
Copy
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