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1659962363
SAMANTHA ERVIN
FORT WALTON BEACH, FL
NPI
1659962363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: FL APRN11011308)
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
SAMANTHA ERVIN APRN
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547-6708
Phone number: 850-572-9447
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Mailing Address
SAMANTHA ERVIN APRN
2651 PLEASANT VALLEY DR
CANTONMENT, FL 32533-5719
Phone number: 850-572-9447
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