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1750702239
GITANA ODETTE NG
PORT ST LUCIE, FL
NPI
1750702239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP2776282)
Enumeration Date
2013-12-30
Last Update Date
2013-12-30
Business Address
-- GITANA ODETTE NG ARNP
1310 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986-2109
Phone number: 772-398-6200
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Mailing Address
-- GITANA ODETTE NG ARNP
3318 SW BLUE CT
PORT ST LUCIE, FL 34953-3559
Phone number: 772-370-3211
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