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1801430780
SAMANTHA ETIENNE
PORT CHARLOTTE, FL
NPI
1801430780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL APRN11001281)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
SAMANTHA ETIENNE APRN
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980-2012
Phone number: 941-766-7222
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Mailing Address
SAMANTHA ETIENNE APRN
4371 VERONICA S SHOEMAKER BLVD
FORT MYERS, FL 33916-2216
Phone number: 239-274-8200
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