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1265952071
CARLA LEE JENNINGS
LAKE WORTH, FL
NPI
1265952071
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Former Name
CARLA LEE BASTIDAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9311196)
Enumeration Date
2017-06-22
Last Update Date
2017-06-22
Business Address
CARLA LEE JENNINGS ARNP
6610 BLUE BAY CIR
LAKE WORTH, FL 33467-7399
Phone number: 561-294-3886
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Mailing Address
CARLA LEE JENNINGS ARNP
6610 BLUE BAY CIR
LAKE WORTH, FL 33467-7399
Phone number:
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