J Dedeaux
J Dedeaux is a Student in an Organized Health Care Education/Training Program in Pace, Florida. Licensed in Alabama. Registered with an NPI since 2015.
- Licensed in
- AL
- In the registry since
- 2015
Practice location Address checks out
4450 Riverview PlPace, FL 32571-8934
Phone: (850) 450-5573
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence S10736 (AL) |
|---|
Record details
| NPI number | 1922493840 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 30, 2015 |
| Last updated in NPPES | March 30, 2015 |
| Mailing address | 4450 Riverview Pl, Pace, FL 32571-8934 |
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Sarah Alfred
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Joshua Gardner
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