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1285096321
JACQUELYNN WITNAUER
LAKE MARY, FL
NPI
1285096321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9338490)
Enumeration Date
2016-03-28
Last Update Date
2020-07-08
Business Address
JACQUELYNN WITNAUER APRN
910 WILLISTON PARK PT STE 1000
LAKE MARY, FL 32746-2163
Phone number: 407-833-8028
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Mailing Address
JACQUELYNN WITNAUER APRN
910 WILLISTON PARK PT STE 1000
LAKE MARY, FL 32746-2163
Phone number: 407-833-8028
Copy
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