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1114646189
GINA RENEA FANN
WINTER HAVEN, FL
NPI
1114646189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: FL APRN11021031)
Enumeration Date
2022-08-24
Last Update Date
2022-08-24
Business Address
GINA RENEA FANN APRN
325 1ST ST N
WINTER HAVEN, FL 33881-4111
Phone number: 863-293-1191
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Mailing Address
GINA RENEA FANN APRN
500 E CENTRAL AVE
WINTER HAVEN, FL 33880-3094
Phone number: 863-293-1191
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