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1326335779
MARILENE GOPEZ LACSON
PALM COAST, FL
NPI
1326335779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP 9270072)
Enumeration Date
2011-07-06
Last Update Date
2014-08-07
Business Address
Miss MARILENE GOPEZ LACSON ARNP
38 ROLLER LN
PALM COAST, FL 32164-8939
Phone number: 386-503-9731
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Mailing Address
Miss MARILENE GOPEZ LACSON ARNP
PO BOX 350031
PALM COAST, FL 32135-0031
Phone number: 386-503-9731
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