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1811654536
SANDRA B WOOTEN
ORANGE PARK, FL
NPI
1811654536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: FL 11016649)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
SANDRA B WOOTEN
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-639-8500
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Mailing Address
SANDRA B WOOTEN
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number:
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