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Sandrie Rose Dieujuste

Nurse Practitioner, Pediatrics in Gainesville, FL. Individual provider (NPI-1).

NPI number1003576752
StatusActive
Last updated in NPPESDec 22, 2021

Details

NPI
1003576752
Entity type
Individual (NPI-1)
Name
Sandrie Rose Dieujuste
Sex
Female
Sole proprietor
No
Enumeration date
Dec 22, 2021
Certification date
Dec 22, 2021
Last updated
Dec 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics11007142FLYes

Practice location

1600 Sw Archer Rd
Gainesville, FL 32610-3003

Phone 352-265-0045

Mailing address

1600 Sw Archer Rd
Gainesville, FL 32610-3003

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