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1558398123
LARA J. NANCE
PORT ORANGE, FL
NPI
1558398123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024166935)
Enumeration Date
2006-06-27
Last Update Date
2021-03-21
Business Address
LARA J. NANCE ANP
288 FARMBROOK RD
PORT ORANGE, FL 32127-6206
Phone number: 757-774-1064
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Mailing Address
LARA J. NANCE ANP
288 FARMBROOK RD
PORT ORANGE, FL 32127-6206
Phone number: 757-774-1064
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