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1043992514
TINYA C CLEMENTS
PORT ST LUCIE, FL
NPI
1043992514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11027893)
Enumeration Date
2023-08-03
Last Update Date
2024-04-03
Business Address
TINYA C CLEMENTS APRN
1070 SW GATLIN BLVD
PORT ST LUCIE, FL 34953
Phone number: 772-408-9434
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Mailing Address
TINYA C CLEMENTS APRN
2190 SE GENOA ST
PORT ST LUCIE, FL 34952-7333
Phone number: 772-380-7897
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