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1477028561
LISA A GREENWAY
MACCLENNY, FL
NPI
1477028561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9315849)
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
LISA A GREENWAY ARNP
121 W MACCLENNY AVE
MACCLENNY, FL 32063-2029
Phone number: 904-259-6380
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Mailing Address
LISA A GREENWAY ARNP
1060 GREEN PINE CIR
ORANGE PARK, FL 32065-2566
Phone number: 904-416-5007
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