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1790807857
JENNIE DESRAVINES
MIAMI, FL
NPI
1790807857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT 11023)
Enumeration Date
2007-04-06
Last Update Date
2007-07-09
Business Address
Ms. JENNIE DESRAVINES OTR
4284 SW 161ST PL
MIAMI, FL 33185-3826
Phone number: 786-208-2814
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Mailing Address
Ms. JENNIE DESRAVINES OTR
244 NW 42ND ST
MIAMI, FL 33127-2836
Phone number: 305-469-3575
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