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1902048689
REGINE JOSE
PLANTATION, FL
NPI
1902048689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA 9104857)
Enumeration Date
2009-03-27
Last Update Date
2009-03-27
Business Address
Mrs. REGINE JOSE Physician Assistant
901 S STATE ROAD 7
PLANTATION, FL 33317-4522
Phone number: 954-797-2900
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Mailing Address
Mrs. REGINE JOSE Physician Assistant
17417 SW 36TH ST
MIRAMAR, FL 33029-1618
Phone number: 954-980-4127
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