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1215417951
DOREEN DESTEFANO
FORT MYERS, FL
NPI
1215417951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL APRN1100138)
Enumeration Date
2018-08-21
Last Update Date
2019-03-13
Business Address
DOREEN DESTEFANO
12734 KENWOOD LN STE 84
FORT MYERS, FL 33907-5638
Phone number: 239-425-2900
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Mailing Address
DOREEN DESTEFANO
12734 KENWOOD LN STE 84
FORT MYERS, FL 33907-5638
Phone number: 239-425-2900
Copy
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