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Individual

WANDA JEAN WINARSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
(904) 446-3760
Mailing address
105 EVERGREEN CT, COLLINSVILLE, IL 62234-4781

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2017005252
MO
363LG0600X
Gerontology Nurse Practitioner
2017005252
MO

Other

Enumeration date
08/23/2017
Last updated
08/23/2017
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