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1912234568
JESSIE JORGE DE LA PENA
JACKSONVILLE, FL
NPI
1912234568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA51836)
Enumeration Date
2009-11-03
Last Update Date
2012-01-06
Business Address
-- JESSIE JORGE DE LA PENA LMT
6817 SOUTHPOINT PKWY
JACKSONVILLE, FL 32216-6282
Phone number: 904-683-3205
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Mailing Address
-- JESSIE JORGE DE LA PENA LMT
6817 SOUTHPOINT PKWY
JACKSONVILLE, FL 32216-6282
Phone number: 904-683-3205
Copy
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