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1891194205
LAURA SUSAN DIEKMAN
NORTH PORT, FL
NPI
1891194205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9287102)
Enumeration Date
2014-08-21
Last Update Date
2020-08-25
Business Address
LAURA SUSAN DIEKMAN
2572 COMMERCE PKWY
NORTH PORT, FL 34289-9356
Phone number: 941-429-3545
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Mailing Address
LAURA SUSAN DIEKMAN
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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