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Individual

ROGER CHARLES DAVID JACQUES

Active
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Individual

ROGER CHARLES DAVID JACQUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.R.N.P.

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9358447
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9358447
FL

Other

Enumeration date
10/29/2014
Last updated
11/30/2023
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