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1376228528
DEREK WAYNE BRUNER
JACKSONVILLE, FL
NPI
1376228528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11026910)
Enumeration Date
2023-06-15
Last Update Date
2024-01-09
Business Address
DEREK WAYNE BRUNER FNP-BC
4655 SALISBURY RD STE 220
JACKSONVILLE, FL 32256-0959
Phone number: 352-239-5958
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Mailing Address
DEREK WAYNE BRUNER FNP-BC
PO BOX 2127
SMYRNA, TN 37167-1711
Phone number: 844-673-6968
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