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1962175992
MARIE FRITZA JACQUES
PLANTATION, FL
NPI
1962175992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11012574)
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
MARIE FRITZA JACQUES
1711 NW 107TH AVE
PLANTATION, FL 33322-6443
Phone number: 929-250-6691
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Mailing Address
MARIE FRITZA JACQUES
1711 NW 107TH AVE
PLANTATION, FL 33322-6443
Phone number:
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