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1063104669
MAVIS TERRY
TAMPA, FL
NPI
1063104669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11025250)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
MAVIS TERRY NP
2326 W SAINT LOUIS ST
TAMPA, FL 33607-2639
Phone number: 719-360-4503
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Mailing Address
MAVIS TERRY NP
2326 W SAINT LOUIS ST
TAMPA, FL 33607-2639
Phone number: 719-360-4503
Copy
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