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1972186880
DEONNA G WILLIS
LAKE CITY, FL
NPI
1972186880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11012889)
Enumeration Date
2021-04-29
Last Update Date
2021-12-01
Business Address
Mrs. DEONNA G WILLIS APRN
404 NW HALL OF FAME DR
LAKE CITY, FL 32055-4833
Phone number: 386-719-2540
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Mailing Address
Mrs. DEONNA G WILLIS APRN
404 NW HALL OF FAME DR
LAKE CITY, FL 32055-4833
Phone number: 386-719-2540
Copy
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