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Individual

MS. JENNIFER LYNN VILLANUEVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2102 SW 20TH PL, OCALA, FL 34471-0861
(352) 332-8588
Mailing address
10290 SE 138TH PLACE RD, SUMMERFIELD, FL 34491-2715
(239) 777-0793

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/08/2015
Last updated
08/18/2015
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