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Individual

MRS. MARY ANNE WING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
(352) 244-0288
Mailing address
8681 SW 89TH LN, GAINESVILLE, FL 32608-7235
(352) 256-6128
(352) 641-6162

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1178522
FL

Other

Enumeration date
08/25/2014
Last updated
08/25/2014
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