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1699308874
JACQUELINE DIMALANTA POLETES
SUN CITY CENTER, FL
NPI
1699308874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11006160)
Enumeration Date
2020-02-17
Last Update Date
2020-08-27
Business Address
JACQUELINE DIMALANTA POLETES APRN
953 E DEL WEBB BLVD
SUN CITY CENTER, FL 33573-6669
Phone number: 813-634-6880
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Mailing Address
JACQUELINE DIMALANTA POLETES APRN
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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