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1003542549
SHARA LANECIA MCPHALL
ORANGE PARK, FL
NPI
1003542549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11020143)
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
Ms. SHARA LANECIA MCPHALL PMHNP
1542 KINGSLEY AVE STE 136
ORANGE PARK, FL 32073-4547
Phone number: 239-223-2751
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Mailing Address
Ms. SHARA LANECIA MCPHALL PMHNP
4310 METRO PKWY STE 205
FORT MYERS, FL 33916-9416
Phone number: 239-236-8784
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