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1609595248
TINA LOUISE MACDOUGALL
PORT ST LUCIE, FL
NPI
1609595248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11020684)
Enumeration Date
2022-08-25
Last Update Date
2023-09-05
Business Address
TINA LOUISE MACDOUGALL APRN, FNP-BC
2115 SE LENNARD RD
PORT ST LUCIE, FL 34952-4742
Phone number: 772-335-1812
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Mailing Address
TINA LOUISE MACDOUGALL APRN, FNP-BC
2115 SE LENNARD RD
PORT ST LUCIE, FL 34952-4742
Phone number: 771-335-1812
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