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1881458784
JOSE ANTONIO MENDIETA
HOLLYWOOD, FL
NPI
1881458784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL APRN11031146)
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
JOSE ANTONIO MENDIETA APRN
1512 N 15TH TER
HOLLYWOOD, FL 33020-3247
Phone number: 630-292-0949
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Mailing Address
JOSE ANTONIO MENDIETA APRN
1512 N 15TH TER
HOLLYWOOD, FL 33020-3247
Phone number: 630-292-0949
Copy
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