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1518675156
MARA-JOANNE DERINOR
KISSIMMEE, FL
NPI
1518675156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 2022057745)
Enumeration Date
2022-11-14
Last Update Date
2022-11-18
Business Address
Miss MARA-JOANNE DERINOR APRN, PMHNP
717 E OAK ST
KISSIMMEE, FL 34744-4580
Phone number: 407-846-0533
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Mailing Address
Miss MARA-JOANNE DERINOR APRN, PMHNP
PO BOX 423356
KISSIMMEE, FL 34742-3356
Phone number:
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