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1467645440
VICKIE LOOMIS
PORT ST LUCIE, FL
NPI
1467645440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN 5154335)
Enumeration Date
2007-08-22
Last Update Date
2007-08-22
Business Address
-- VICKIE LOOMIS
3700 SW HALE ST
PORT ST LUCIE, FL 34953-3871
Phone number: 772-336-0966
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Mailing Address
-- VICKIE LOOMIS
3700 SW HALE ST
PORT ST LUCIE, FL 34953-3871
Phone number:
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