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1073155107
EQUISENTIAL PRIMARY HEALTHCARE, LLC
PORT ST LUCIE, FL
NPI
1073155107
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Entity Type
Organization
Authorized Contact
CLAUDETTE JOHNSTON-CREARY
Owner
772-342-3794
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2019-10-10
Last Update Date
2020-05-08
Business Address
EQUISENTIAL PRIMARY HEALTHCARE, LLC
2637 SW IMPORT DR
PORT ST LUCIE, FL 34987-2056
Phone number: 772-342-3794
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Mailing Address
EQUISENTIAL PRIMARY HEALTHCARE, LLC
2637 SW IMPORT DR
PORT ST LUCIE, FL 34987-2056
Phone number: 772-342-3794
Copy
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