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1033148408
ISABELL SMALL
TAMPA, FL
NPI
1033148408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL PT 9328)
Enumeration Date
2006-06-30
Last Update Date
2007-07-09
Business Address
-- ISABELL SMALL PT
2215 E HENRY AVE
TAMPA, FL 33610-4432
Phone number: 813-239-1179
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Mailing Address
-- ISABELL SMALL PT
2215 E HENRY AVE
TAMPA, FL 33610-4432
Phone number: 813-239-1179
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