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1992538300
WOLF ISMAKOV JEAN BAPTISTE
FORT MYERS, FL
NPI
1992538300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-08-21
Last Update Date
2024-10-23
Business Address
WOLF ISMAKOV JEAN BAPTISTE PA-C
13681 DOCTORS WAY
FORT MYERS, FL 33912-4300
Phone number: 239-343-0434
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Mailing Address
WOLF ISMAKOV JEAN BAPTISTE PA-C
3811 NW 28TH ST
LAUDERDALE LAKES, FL 33311-1832
Phone number: 754-779-6278
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