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1003117532
SUSAN LYNETTE FORT
GAINESVILLE, FL
NPI
1003117532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: FL ARNP 3295302)
Enumeration Date
2010-11-15
Last Update Date
2018-10-30
Business Address
SUSAN LYNETTE FORT ARNP
2528 NW 32ND ST
GAINESVILLE, FL 32605-2743
Phone number: 352-224-8161
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Mailing Address
SUSAN LYNETTE FORT ARNP
2528 NW 32ND ST
GAINESVILLE, FL 32605-2743
Phone number: 352-224-8161
Copy
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