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Individual
MS. MARY LOUISE FARR
Active
Individual
MS. MARY LOUISE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9218316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308852900
—
FL
01
—
B0735ZY
MEDICARE
FL
01
—
Y03Q2
BC BS
FL
Enumeration date
08/02/2006
Last updated
11/07/2018
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