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1235384694
GEORGIA D DAVAULT
FORT MYERS, FL
NPI
1235384694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 1070882)
Enumeration Date
2008-11-25
Last Update Date
2008-11-25
Business Address
Mrs. GEORGIA D DAVAULT ARNP-BC
14271 METROPOLIS AVE SUITE A
FORT MYERS, FL 33912-4302
Phone number: 239-939-7777
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Mailing Address
Mrs. GEORGIA D DAVAULT ARNP-BC
5651 LOCHNESS CT
NORTH FORT MYERS, FL 33903-4928
Phone number: 239-997-7019
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