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1679989271
DEBORAHLEE WALLIS
FORT MYERS, FL
NPI
1679989271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL 9366801)
Enumeration Date
2014-07-03
Last Update Date
2014-07-03
Business Address
-- DEBORAHLEE WALLIS
10140 DEER RUN FRM RD
FORT MYERS, FL 33966-1045
Phone number: 239-275-4222
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Mailing Address
-- DEBORAHLEE WALLIS
3763 EVANS AVE
FORT MYERS, FL 33901-9302
Phone number: 239-275-3222
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