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1225760259
LEAH ANGELA PHILLIPS ORTENZO
FORT WALTON BEACH, FL
NPI
1225760259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11020504)
Enumeration Date
2022-06-28
Last Update Date
2022-06-28
Business Address
LEAH ANGELA PHILLIPS ORTENZO
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547-6708
Phone number: 850-863-7607
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Mailing Address
LEAH ANGELA PHILLIPS ORTENZO
37 SOLAR ST
MARY ESTHER, FL 32569-1535
Phone number: 770-584-2161
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