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1386903086
THELMA ELAINE MARQUEZ
PORT ORANGE, FL
NPI
1386903086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 0977412)
Enumeration Date
2012-05-15
Last Update Date
2012-05-15
Business Address
Ms. THELMA ELAINE MARQUEZ
6046 WINDING RIDGE LN
PORT ORANGE, FL 32128-7108
Phone number: 386-451-2355
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Mailing Address
Ms. THELMA ELAINE MARQUEZ
6046 WINDING RIDGE LN
PORT ORANGE, FL 32128-7108
Phone number: 386-451-2355
Copy
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