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1881240273
MARILYN LEANN WATERS
BRADENTON, FL
NPI
1881240273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11003655)
Enumeration Date
2019-08-13
Last Update Date
2019-09-03
Business Address
MARILYN LEANN WATERS FNP
4647 MANATEE AVE W
BRADENTON, FL 34209-3816
Phone number: 941-745-5999
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Mailing Address
MARILYN LEANN WATERS FNP
367 S. GULPH RD ATTN: IPM CREDENTIALING
KING OF PRUSSIA, PA 19406-3121
Phone number: 941-745-5999
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