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1184897613
GRACE ELBO MERCURIO
LAKE CITY, FL
NPI
1184897613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9233362)
Enumeration Date
2008-04-04
Last Update Date
2008-04-04
Business Address
Miss GRACE ELBO MERCURIO A.R.N.P.
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
Miss GRACE ELBO MERCURIO A.R.N.P.
1013 SW 75TH WAY
GAINESVILLE, FL 32607-4917
Phone number:
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