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1245800226
DESIREE NICOLII STATLER
PENSACOLA, FL
NPI
1245800226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11013529)
Enumeration Date
2021-06-30
Last Update Date
2021-12-28
Business Address
DESIREE NICOLII STATLER APRN
2315 W JACKSON ST
PENSACOLA, FL 32505-7552
Phone number: 850-436-4630
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Mailing Address
DESIREE NICOLII STATLER APRN
2315 W JACKSON ST
PENSACOLA, FL 32505-7552
Phone number: 850-436-4630
Copy
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