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Individual

WANNA JEAN WELCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1801 SE 32ND AVE, OCALA, FL 34471-5532
(352) 629-0137
Mailing address
4608 NE 15TH ST, OCALA, FL 34470-8010
(352) 861-0870

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP1652792
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0342203-00
FL
Enumeration date
06/21/2006
Last updated
01/16/2013
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