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1639160831
JACQUELINE AZELVANDRE
LONGWOOD, FL
NPI
1639160831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS4390)
Enumeration Date
2005-11-04
Last Update Date
2024-02-06
Business Address
-- JACQUELINE AZELVANDRE D.O.
301 S MILWEE ST
LONGWOOD, FL 32750-4127
Phone number: 407-339-1060
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Mailing Address
-- JACQUELINE AZELVANDRE D.O.
301 S MILWEE ST
LONGWOOD, FL 32750-4127
Phone number: 407-339-1060
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