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1457987133
JASON PETUSEVSKY
CORAL SPRINGS, FL
NPI
1457987133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-13
Last Update Date
2020-03-13
Business Address
JASON PETUSEVSKY
5129 NW 86TH WAY
CORAL SPRINGS, FL 33067-1971
Phone number: 954-591-5873
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Mailing Address
JASON PETUSEVSKY
3200 S UNIVERSITY DR
DAVIE, FL 33328-2018
Phone number:
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