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1881167013
SOPHIA POWELL
PORT ST LUCIE, FL
NPI
1881167013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9239881)
Enumeration Date
2019-01-10
Last Update Date
2019-01-10
Business Address
SOPHIA POWELL NURSE PRACTITIONER
1574 SW DYCUS AVE
PORT ST LUCIE, FL 34953-5251
Phone number: 772-878-8066
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Mailing Address
SOPHIA POWELL NURSE PRACTITIONER
1574 SW DYCUS AVE
PORT ST LUCIE, FL 34953-5251
Phone number:
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