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1396117693
SONIA RAE REISDORF
ST AUGUSTINE, FL
NPI
1396117693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 9318208)
Enumeration Date
2015-10-26
Last Update Date
2017-03-31
Business Address
SONIA RAE REISDORF ARNP
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086-5784
Phone number: 904-819-4082
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Mailing Address
SONIA RAE REISDORF ARNP
PO BOX 860069
ST AUGUSTINE, FL 32086-0069
Phone number: 904-819-4082
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