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1790722684
VIKY DIVERTIE
JACKSONVILLE, FL
NPI
1790722684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP2180342)
Enumeration Date
2006-06-01
Last Update Date
2010-09-09
Business Address
-- VIKY DIVERTIE ARNP
12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223-2640
Phone number: 904-288-0277
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Mailing Address
-- VIKY DIVERTIE ARNP
8711 PERIMETER PARK BLVD SUITE 6
JACKSONVILLE, FL 32216-6388
Phone number: 904-223-2330
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