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Mr. Jean A Clersainville
Driver in Pembroke Park, Florida
NPI 1306468392

Jean A Clersainville is a Driver based in Pembroke Park, FL. Jean A Clersainville practices in Pembroke Park, FL. The NPI Number for Jean A Clersainville is 1306468392 and holds a License No. C462461752650 (Florida).

The current practice location address for Jean A Clersainville is 3615 Sw 52Nd Ave Apt B203, Pembroke Park, FL and can be reached out via phone at 754-703-1812.

Location: 3615 Sw 52Nd Ave Apt B203, Pembroke Park, FL, 33023-6942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306468392
Provider Name
Jean A Clersainville
Credential
Provider Entity Type
Individual
Gender
Male
Address
3615 Sw 52Nd Ave Apt B203, Pembroke Park, FL, 33023-6942
Phone Number
754-703-1812
Fax Number
Provider Enumeration Date
05/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
842464757 01 FL C-CLASS TRANSPORT
institution
Provider Business Practice Location Address Details
Address
3615 Sw 52Nd Ave Apt B203
City
Pembroke Park
State
Florida
Zip
33023-6942
Phone Number
754-703-1812
Fax Number
person
Provider Business Mailing Address Details
Address
3615 Sw 52Nd Ave Apt B203
City
Pembroke Park
State
Florida
Zip
33023-6942
Phone Number
754-703-1812
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
C462461752650 (Florida)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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