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1770509200
BEENA JACOB
PLANTATION, FL
NPI
1770509200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9101812)
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
-- BEENA JACOB PA-C
201 NW 82ND AVE S. 501
PLANTATION, FL 33324-7808
Phone number: 954-473-6750
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Mailing Address
-- BEENA JACOB PA-C
201 NW 82ND AVE S. 501
PLANTATION, FL 33324-7808
Phone number: 954-473-6750
Copy
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