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Individual

LEANNE E JACQUEMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
(850) 747-7183
(850) 785-6233
Mailing address
7700 W SUNRISE BLVD, MAILSTOP PL-14 2ND FL, PLANTATION, FL 33322-4113
(954) 939-2371
(954) 851-1746

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
9309141
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9309141
FL

Other

Enumeration date
12/05/2014
Last updated
12/21/2016
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