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1053157123
MOLLY WALLIS
JACKSONVILLE, FL
NPI
1053157123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11033449)
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
MOLLY WALLIS ARNP FNP-C
12740 GRAN BAY PKWY W STE 2400
JACKSONVILLE, FL 32258-5495
Phone number: 904-229-0510
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Mailing Address
MOLLY WALLIS ARNP FNP-C
137 HEATHROW DR
DAYTONA BEACH, FL 32117-3831
Phone number: 386-795-2756
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