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1497413421
MORGAN FONVILLE
BRADENTON, FL
NPI
1497413421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11016879)
Enumeration Date
2021-12-07
Last Update Date
2024-10-17
Business Address
MORGAN FONVILLE APRN
11715 RANGELAND PKWY
BRADENTON, FL 34211-9529
Phone number: 941-538-0001
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Mailing Address
MORGAN FONVILLE APRN
11715 RANGELAND PKWY
BRADENTON, FL 34211-9529
Phone number: 941-958-0001
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