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1679917033
LAWRENCE CORONEL JIMENEZ
PENSACOLA, FL
NPI
1679917033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2013-04-28
Last Update Date
2018-08-16
Business Address
LAWRENCE CORONEL JIMENEZ
760 EAST AVE BLDG 3911
PENSACOLA, FL 32508
Phone number: 850-452-8970
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Mailing Address
LAWRENCE CORONEL JIMENEZ
1800 BROWN RD
PENSACOLA, FL 32508-7003
Phone number: 619-944-5641
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