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1932637543
LISA JANE JIMENEZ
BUNNELL, FL
NPI
1932637543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9290624)
Enumeration Date
2017-05-25
Last Update Date
2017-05-25
Business Address
LISA JANE JIMENEZ ARNP
301 DR CARTER BLVD
BUNNELL, FL 32110-6212
Phone number: 386-437-7350
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Mailing Address
LISA JANE JIMENEZ ARNP
4119 S ATLANTIC AVE
PORT ORANGE, FL 32127-6629
Phone number: 386-405-8843
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