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Individual

MISS JASMINE KORDBACHEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6699 W BOYNTON BEACH BLVD STE B, BOYNTON BEACH, FL 33437-3527
(561) 296-1188
Mailing address
6699 W BOYNTON BEACH BLVD STE 100, BOYNTON BEACH, FL 33437-3527
(561) 296-1188

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
PA9109934
FL

Other

Enumeration date
09/30/2016
Last updated
07/22/2019
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