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Individual
MR. JUSTIN FENNER LETOURNEAU
Active
Individual
MR. JUSTIN FENNER LETOURNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108503
FL
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA9108503
FL
Other
Enumeration date
05/13/2010
Last updated
06/30/2021
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