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1487872826
LAURIE J DESOUZA
FORT MYERS, FL
NPI
1487872826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP1352572)
Enumeration Date
2007-04-23
Last Update Date
2016-12-05
Business Address
-- LAURIE J DESOUZA ARNP
13813 METRO PKWY
FORT MYERS, FL 33912-4343
Phone number: 239-936-1343
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Mailing Address
-- LAURIE J DESOUZA ARNP
PO BOX 62707
FORT MYERS, FL 33906-2707
Phone number: 239-931-3440
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