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1417099656
LISA WYNNE
MIAMI, FL
NPI
1417099656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL ARNP1750482)
Enumeration Date
2007-02-13
Last Update Date
2014-05-21
Business Address
-- LISA WYNNE ARNP
3100 SW 62ND AVE
MIAMI, FL 33155-3009
Phone number: 786-624-2636
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Mailing Address
-- LISA WYNNE ARNP
3100 SW 62ND AVE
MIAMI, FL 33155-3009
Phone number: 786-624-2636
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