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1164838827
COURTNEY RENEE WALLER
GAINESVILLE, FL
NPI
1164838827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: FL 262749)
Enumeration Date
2014-07-02
Last Update Date
2014-07-02
Business Address
Miss COURTNEY RENEE WALLER CNA
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
Miss COURTNEY RENEE WALLER CNA
336 NW PRIMITIVE GLN
LAKE CITY, FL 32055-8577
Phone number: 469-422-7141
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