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1467167841
DIANA COLLETTE
ORANGE PARK, FL
NPI
1467167841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11020846)
Enumeration Date
2023-01-19
Last Update Date
2023-01-19
Business Address
DIANA COLLETTE APRN
4215 PLANTATION OAKS BLVD
ORANGE PARK, FL 32065-3641
Phone number: 904-633-0820
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Mailing Address
DIANA COLLETTE APRN
78 SOLIS AVE
SAINT JOHNS, FL 32259-1256
Phone number: 305-766-5348
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