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1568198026
OLGA PROSVETOVA
PALM COAST, FL
NPI
1568198026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11020714)
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
OLGA PROSVETOVA APRN
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164-5980
Phone number: 385-586-2000
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Mailing Address
OLGA PROSVETOVA APRN
96 LONGRIDGE LN
ORMOND BEACH, FL 32174-1067
Phone number:
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