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1871993824
ANGELA JOY FENNELL
BRANFORD, FL
NPI
1871993824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: FL MW294)
Enumeration Date
2014-08-27
Last Update Date
2023-02-10
Business Address
ANGELA JOY FENNELL LM, CPM
27619 25TH PL
BRANFORD, FL 32008-2107
Phone number: 386-288-0698
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Mailing Address
ANGELA JOY FENNELL LM, CPM
1468 SW MAIN BLVD STE 105-94
LAKE CITY, FL 32025-1115
Phone number: 386-288-0698
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