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1063817948
ELI BILLETER
SAINT AUGUSTINE, FL
NPI
1063817948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9192714)
Enumeration Date
2014-11-04
Last Update Date
2014-11-04
Business Address
-- ELI BILLETER
128 MOULTRIE CROSSING LN
SAINT AUGUSTINE, FL 32086-5242
Phone number: 904-819-5155
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Mailing Address
-- ELI BILLETER
128 MOULTRIE CROSSING LN
SAINT AUGUSTINE, FL 32086-5242
Phone number: 904-819-5155
Copy
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