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1194549626
GRACE RHIANNA KOLOVITZ
LAKE CITY, FL
NPI
1194549626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11036359)
Enumeration Date
2024-11-12
Last Update Date
2024-11-12
Business Address
GRACE RHIANNA KOLOVITZ
247 SW AUDREY WAY
LAKE CITY, FL 32024-3369
Phone number: 386-438-4193
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Mailing Address
GRACE RHIANNA KOLOVITZ
247 SW AUDREY WAY
LAKE CITY, FL 32024-3369
Phone number: 386-438-4193
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