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1457411100
MAR JAMINAL
JACKSONVILLE, FL
NPI
1457411100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME98080)
Enumeration Date
2006-12-11
Last Update Date
2008-02-05
Business Address
-- MAR JAMINAL M.D.
1155 E 21ST ST UFJP EASTSIDE FAMILY PRACTICE
JACKSONVILLE, FL 32206-2401
Phone number: 904-359-9067
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Mailing Address
-- MAR JAMINAL M.D.
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3660
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