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1861944621
JOSE RIVERA
ST PETERSBURG, FL
NPI
1861944621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5227063)
Enumeration Date
2016-10-27
Last Update Date
2016-11-14
Business Address
Mr. JOSE RIVERA LPN
3800 CENTRAL AVE
ST PETERSBURG, FL 33711-1237
Phone number: 727-327-7656
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Mailing Address
Mr. JOSE RIVERA LPN
PO BOX 10970
ST PETERSBURG, FL 33733-0970
Phone number: 727-327-7656
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