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1356167878
OLIVIA DAVIS
WILKES BARRE, PA
NPI
1356167878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: FL 2024058952)
Enumeration Date
2024-11-30
Last Update Date
2024-11-30
Business Address
OLIVIA DAVIS
84 W SOUTH ST
WILKES BARRE, PA 18766-0997
Phone number: 570-408-5000
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Mailing Address
OLIVIA DAVIS
5244 SALTAMONTE DR
NEW PORT RICHEY, FL 34655-1276
Phone number: 570-394-7708
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