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1629682331
ALTAGRACE JEAN BAPTISTE
FORT PIERCE, FL
NPI
1629682331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11008785)
Enumeration Date
2020-09-01
Last Update Date
2021-03-31
Business Address
ALTAGRACE JEAN BAPTISTE
1404 S 28TH ST
FORT PIERCE, FL 34947-6999
Phone number: 772-293-0770
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Mailing Address
ALTAGRACE JEAN BAPTISTE
5934 NW DOWELL CT
PORT ST LUCIE, FL 34986-3831
Phone number: 772-359-9187
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