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1457008872
JENCYMOL MATHEW
LEESBURG, FL
NPI
1457008872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11018479)
Enumeration Date
2022-03-05
Last Update Date
2024-11-07
Business Address
JENCYMOL MATHEW APRN, PMHNP
8136 CENTRALIA CT STE 101
LEESBURG, FL 34788-3757
Phone number: 800-614-4124
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Mailing Address
JENCYMOL MATHEW APRN, PMHNP
8136 CENTRALIA CT STE 101
LEESBURG, FL 34788-3757
Phone number: 800-614-4124
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