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JASMIN LANEICE DUMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3543 LITTLE RD STE A, TRINITY, FL 34655-1814
(727) 848-6400
Mailing address
1055 10TH ST SE, GRAYSVILLE, AL 35073-1942
(205) 514-3221

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110379
FL

Other

Enumeration date
05/22/2017
Last updated
05/22/2017
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