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1003640335
LAN POTTER
ELLENTON, FL
NPI
1003640335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: FL APRN11032275)
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
LAN POTTER Nurse Practitioner
2640 57TH CIR E APT 202
ELLENTON, FL 34222
Phone number: 319-671-2270
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Mailing Address
LAN POTTER Nurse Practitioner
2640 57TH CIR E APT 202 2640 57TH CIR E APT 202
ELLENTON, FL 34222
Phone number: 319-671-2270
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