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1023725108
YANIN OTANO RAMON
TAMPA, FL
NPI
1023725108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11022091)
Enumeration Date
2022-10-31
Last Update Date
2023-03-30
Business Address
YANIN OTANO RAMON
6726 HANLEY RD
TAMPA, FL 33634-4739
Phone number: 941-275-7293
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Mailing Address
YANIN OTANO RAMON
1400 NW 107TH AVE STE 500
SWEETWATER, FL 33172-2746
Phone number: 305-534-0076
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