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1144570862
PETRA DEBOLT
FORT MYERS, FL
NPI
1144570862
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Former Name
PETRA DUGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP2944422)
Enumeration Date
2012-09-11
Last Update Date
2015-02-13
Business Address
-- PETRA DEBOLT A.R.N.P.
3511 MARTIN LUTHER KING BLVD
FORT MYERS, FL 33916-4651
Phone number: 239-343-4910
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Mailing Address
-- PETRA DEBOLT A.R.N.P.
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-424-1449
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