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1871171439
LISA LEDOUX
PALM BAY, FL
NPI
1871171439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11012430)
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
LISA LEDOUX PMHNP-BC
2123 FRANKLIN DR NE
PALM BAY, FL 32905-4022
Phone number: 321-724-1614
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Mailing Address
LISA LEDOUX PMHNP-BC
2123 FRANKLIN DR NE
PALM BAY, FL 32905-4022
Phone number: 321-724-1614
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