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1861228272
PRISCILA SIMON JOSE
LAKE CITY, FL
NPI
1861228272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11035219)
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
PRISCILA SIMON JOSE FNP-BC
340 NW COMMERCE DR
LAKE CITY, FL 32055-4709
Phone number: 386-719-9000
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Mailing Address
PRISCILA SIMON JOSE FNP-BC
7480 S STATE ROAD 121
MACCLENNY, FL 32063-5450
Phone number: 386-249-2131
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