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1184859415
ELLEN LOUISE POTTS
ORANGE PARK, FL
NPI
1184859415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP668652)
Enumeration Date
2009-05-15
Last Update Date
2009-05-15
Business Address
MRS. ELLEN LOUISE POTTS ARNP
2140 KINGSLEY AVE SUITE 2
ORANGE PARK, FL 32073
Phone number: 904-886-4878
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Mailing Address
MRS. ELLEN LOUISE POTTS ARNP
PO BOX 57967
JACKSONVILLE, FL 32241-7967
Phone number: 904-886-4878
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