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1245770742
LINDA GILLIS
ST AUGUSTINE, FL
NPI
1245770742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9342157)
Enumeration Date
2017-03-02
Last Update Date
2017-03-02
Business Address
-- LINDA GILLIS
143 PORTADA DR
ST AUGUSTINE, FL 32095-1634
Phone number: 904-891-7342
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Mailing Address
-- LINDA GILLIS
143 PORTADA DR
ST AUGUSTINE, FL 32095-1634
Phone number: 904-891-7342
Copy
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