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1902259450
MELISSA JERVIS
CORAL GABLES, FL
NPI
1902259450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL OTA13912)
Enumeration Date
2016-07-20
Last Update Date
2016-07-20
Business Address
-- MELISSA JERVIS COTA/L
2955 SW 22ND ST
CORAL GABLES, FL 33145-3205
Phone number: 954-356-2878
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Mailing Address
-- MELISSA JERVIS COTA/L
13812 SW 275TH ST
HOMESTEAD, FL 33032-3204
Phone number: 786-536-0015
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