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1134788383
SAMANTHA ETHALEE GATES
JACKSONVILLE, FL
NPI
1134788383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11002072)
Enumeration Date
2019-06-11
Last Update Date
2019-06-11
Business Address
SAMANTHA ETHALEE GATES APRN, FNP-BC
10739 DEERWOOD PARK BLVD STE 200
JACKSONVILLE, FL 32256-4839
Phone number: 800-793-7050
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Mailing Address
SAMANTHA ETHALEE GATES APRN, FNP-BC
113 SEABOARD LN STE 200B
FRANKLIN, TN 37067-8282
Phone number: 615-721-7024
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