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1376160424
CHANTEL DESPORTE
PENSACOLA, FL
NPI
1376160424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11008618)
Enumeration Date
2020-07-05
Last Update Date
2024-01-25
Business Address
Ms. CHANTEL DESPORTE APRN
5401 CORPORATE WOODS DR STE 100
PENSACOLA, FL 32504-8974
Phone number: 850-969-2340
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Mailing Address
Ms. CHANTEL DESPORTE APRN
8333 N DAVIS HWY
PENSACOLA, FL 32514-6050
Phone number: 850-969-2340
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