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Individual

MS. DAWNMARIE E PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
6101 LAKE ELLENOR DR STE 105, ORLANDO, FL 32809-4616
(407) 322-8645
(407) 956-4675
Mailing address
4930 E LAKE MARY BLVD, SANFORD, FL 32771-5003
(407) 322-8645
(407) 322-8645

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN102308
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000780887F
GA
Enumeration date
02/07/2011
Last updated
01/28/2019
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