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Individual

MR. JOMALL CUMMINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-6800
(954) 603-7885
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(888) 880-9270

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
09/01/2015
Last updated
09/01/2015
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