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1477063741
JULISSA TAVERAS
FORT MYERS, FL
NPI
1477063741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9380884)
Enumeration Date
2017-10-02
Last Update Date
2017-10-02
Business Address
JULISSA TAVERAS ARNP
8260 GLADIOLUS DR
FORT MYERS, FL 33908-4156
Phone number: 239-437-5755
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Mailing Address
JULISSA TAVERAS ARNP
4371 VERONICA S SHOEMAKER BLVD
FORT MYERS, FL 33916-2216
Phone number: 239-236-5711
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