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1194089227
JACQUELINE BANNISTER
FORT MYERS, FL
NPI
1194089227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL ARNP9204616)
Enumeration Date
2012-07-03
Last Update Date
2022-07-21
Business Address
Mrs. JACQUELINE BANNISTER ARNP
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966-4805
Phone number: 239-223-2751
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Mailing Address
Mrs. JACQUELINE BANNISTER ARNP
6360 TECHSTER BLVD STE 1
FORT MYERS, FL 33966-4805
Phone number: 239-223-2751
Copy
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