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1417543299
PETRA DEEM
FORT MYERS, FL
NPI
1417543299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11010048)
Enumeration Date
2020-12-16
Last Update Date
2021-11-15
Business Address
PETRA DEEM APRN
2780 CLEVELAND AVE
FORT MYERS, FL 33901-5858
Phone number: 239-343-3727
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Mailing Address
PETRA DEEM APRN
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-424-1500
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