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1699235184
CAROL LAVERNE ANDERSON
DAVENPORT, FL
NPI
1699235184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11001827)
Enumeration Date
2019-03-21
Last Update Date
2019-03-21
Business Address
CAROL LAVERNE ANDERSON
5229 CORTLAND DR
DAVENPORT, FL 33837-1763
Phone number: 407-415-5276
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Mailing Address
CAROL LAVERNE ANDERSON
5229 CORTLAND DR
DAVENPORT, FL 33837-1763
Phone number: 407-415-5276
Copy
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