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1639580236
ANDREA DISTEFANO
PONTE VEDRA BEACH, FL
NPI
1639580236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9262502)
Enumeration Date
2014-05-16
Last Update Date
2016-10-14
Business Address
-- ANDREA DISTEFANO FNP-BC
103 SOLANA RD SUITE B
PONTE VEDRA BEACH, FL 32082-2231
Phone number: 904-273-2717
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Mailing Address
-- ANDREA DISTEFANO FNP-BC
103 SOLANA RD SUITE B
PONTE VEDRA BEACH, FL 32082-2231
Phone number: 904-273-2717
Copy
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