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1740748987
JENNIFER LOPEZ
TAMPA, FL
NPI
1740748987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL Arnp9364482)
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
JENNIFER LOPEZ
1011 N MACDILL AVE
TAMPA, FL 33607-5126
Phone number: 813-876-0625
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Mailing Address
JENNIFER LOPEZ
6811 SW 130TH AVE
MIAMI, FL 33183-2423
Phone number: 305-890-9720
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