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1679355606
ANGIE P MAITLAND
PORT SAINT LUCIE, FL
NPI
1679355606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL APRN11015730)
Enumeration Date
2023-10-16
Last Update Date
2023-10-16
Business Address
ANGIE P MAITLAND APRN
1231 SE NAPLES LN
PORT SAINT LUCIE, FL 34983-3125
Phone number: 786-543-0210
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Mailing Address
ANGIE P MAITLAND APRN
1231 SE NAPLES LN
PORT SAINT LUCIE, FL 34983-3125
Phone number: 786-543-0210
Copy
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