DEETTA L DEBAULT

FORT MYERS, FL
NPI1477960888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: FL  ARNP9277422)
Enumeration Date2014-07-17
Last Update Date2019-12-20
Business Address
DEETTA L DEBAULT ARNP
2232 GRAND AVE
FORT MYERS, FL 33901-3717
Phone number: 239-344-2330
Mailing Address
DEETTA L DEBAULT ARNP
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 239-278-3600
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