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1649365479
ROBERTA VESTA WALL
JACKSONVILLE, FL
NPI
1649365479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP 9258859)
Enumeration Date
2006-10-04
Last Update Date
2007-10-18
Business Address
-- ROBERTA VESTA WALL ARNP
655 W 8TH ST
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-8733
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Mailing Address
-- ROBERTA VESTA WALL ARNP
6346 CHRISTOPHER CREEK ROAD WEST
JACKSONVILLE, FL 32217
Phone number: 904-244-8733
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