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Individual
JACK R SWING
Active
Individual
JACK R SWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9272686
FL
363L00000X
Nurse Practitioner
Primary
SP017579
PA
363LF0000X
Family Nurse Practitioner
SP017579
PA
Other
Enumeration date
07/28/2011
Last updated
04/04/2023
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