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1780114090
FARRAH FAWN POLING
FORT MYERS, FL
NPI
1780114090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ARNP9360599)
Enumeration Date
2017-06-19
Last Update Date
2020-06-04
Business Address
Mrs. FARRAH FAWN POLING ARNP
6150 DIAMOND CENTRE CT UNIT 400
FORT MYERS, FL 33912-4367
Phone number: 239-561-9191
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Mailing Address
Mrs. FARRAH FAWN POLING ARNP
PO BOX 1199
LEHIGH ACRES, FL 33970-1199
Phone number: 239-694-9102
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