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1053156141
KATRINA SHANELL GENERAL
SAINT AUGUSTINE, FL
NPI
1053156141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11033492)
Enumeration Date
2024-06-28
Last Update Date
2024-06-28
Business Address
Ms. KATRINA SHANELL GENERAL APRN
131 BONAIR DR
SAINT AUGUSTINE, FL 32092-1896
Phone number: 904-463-1778
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Mailing Address
Ms. KATRINA SHANELL GENERAL APRN
131 BONAIR DR
SAINT AUGUSTINE, FL 32092-1896
Phone number: 904-463-1778
Copy
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