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1861963159
AJOMOL KURISUNKAL JOSE
PEMBROKE PINES, FL
NPI
1861963159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN9225913)
Enumeration Date
2018-12-11
Last Update Date
2018-12-11
Business Address
AJOMOL KURISUNKAL JOSE
16194 NW 15TH ST
PEMBROKE PINES, FL 33028-1220
Phone number: 954-559-2601
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Mailing Address
AJOMOL KURISUNKAL JOSE
16194 NW 15TH ST
PEMBROKE PINES, FL 33028-1220
Phone number: 954-559-2601
Copy
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