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1992445951
AMBER JACK
MELBOURNE, FL
NPI
1992445951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11017398)
Enumeration Date
2022-03-29
Last Update Date
2023-03-31
Business Address
Mrs. AMBER JACK APRN
6619 N WICKHAM RD
MELBOURNE, FL 32940-2006
Phone number: 321-259-9500
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Mailing Address
Mrs. AMBER JACK APRN
6619 N WICKHAM RD
MELBOURNE, FL 32940-2006
Phone number:
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