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1982255923
MICHELLE A FALLER
LAKE CITY, FL
NPI
1982255923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11004244)
Enumeration Date
2019-09-20
Last Update Date
2019-09-25
Business Address
MICHELLE A FALLER NP-C
340 NW COMMERCE DR
LAKE CITY, FL 32055-4709
Phone number: 386-719-9334
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Mailing Address
MICHELLE A FALLER NP-C
19708 78TH PL
LIVE OAK, FL 32060-7722
Phone number: 229-251-8229
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