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Individual

MR. JOSEPH W DUBOSE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1951 NW 7TH AVE FL 3, MIAMI, FL 33136-1104
(305) 902-6347
Mailing address
1951 NW 7TH AVE FL 3, MIAMI, FL 33136-1104
(305) 902-6347

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
AP30007024
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007024
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202685
LIWA
WA
01
3074DU
BSWA
WA
05
9646712
WA
Enumeration date
06/08/2006
Last updated
11/26/2020
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