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1649796293
JIM VAN
SAINT CLOUD, FL
NPI
1649796293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN23005)
Enumeration Date
2017-08-16
Last Update Date
2017-08-17
Business Address
JIM VAN DDS
2050 OLD HICKORY TREE RD
SAINT CLOUD, FL 34772-8926
Phone number: 407-556-3696
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Mailing Address
JIM VAN DDS
2704 CYPRESSWAY CT
ORLANDO, FL 32825-8563
Phone number:
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