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1689232738
STEPHANIE SHEA POULOS
JACKSONVILLE, FL
NPI
1689232738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11002300)
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
Ms. STEPHANIE SHEA POULOS FNP-C
655 W 8TH ST
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-0411
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Mailing Address
Ms. STEPHANIE SHEA POULOS FNP-C
11652 KENNEDY LN
JACKSONVILLE, FL 32223-8789
Phone number: 904-305-9586
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