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Individual
JO ANN MEJIA BOLANTE
Active
Individual
JO ANN MEJIA BOLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9196755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134644A
—
GA
05
—
003134644C
—
GA
05
—
005531200
—
FL
Enumeration date
12/06/2011
Last updated
05/19/2015
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