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1124475462
LATONYA CHARMENE PRIM
PENSACOLA, FL
NPI
1124475462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: AL 1-091626)
Enumeration Date
2016-05-17
Last Update Date
2016-05-17
Business Address
MRS. LATONYA CHARMENE PRIM CRNP
5041 N 12TH AVE
PENSACOLA, FL 32504-8916
Phone number: 850-202-5814
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Mailing Address
MRS. LATONYA CHARMENE PRIM CRNP
5041 N 12TH AVE
PENSACOLA, FL 32504-8916
Phone number: 850-202-5814
Copy
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