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1417585316
JENNIFER LYNN WAICUS
MELBOURNE, FL
NPI
1417585316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11006496)
Enumeration Date
2020-03-28
Last Update Date
2020-03-28
Business Address
JENNIFER LYNN WAICUS
2755 N WICKHAM RD STE 102
MELBOURNE, FL 32935-2226
Phone number: 855-200-7595
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Mailing Address
JENNIFER LYNN WAICUS
3014 ORANGE TREE DR
EDGEWATER, FL 32141-6216
Phone number: 386-690-6951
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