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1669128716
LOUIS-JACQUES JOSEPH
PUNTA GORDA, FL
NPI
1669128716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11018290)
Enumeration Date
2022-02-28
Last Update Date
2022-06-12
Business Address
Mr. LOUIS-JACQUES JOSEPH PMHNP-BC
25097 OLYMPIA AVE STE 205
PUNTA GORDA, FL 33950-3912
Phone number: 941-347-8341
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Mailing Address
Mr. LOUIS-JACQUES JOSEPH PMHNP-BC
4030 29TH ST SW
LEHIGH ACRES, FL 33976-3822
Phone number: 239-692-1385
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