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1700498649
MICHAELNISHA R MARTIN
LAKE CITY, FL
NPI
1700498649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5219179)
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
MICHAELNISHA R MARTIN
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 386-487-0800
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Mailing Address
MICHAELNISHA R MARTIN
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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