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1073120093
KAILEY A WICKENS
TAMPA, FL
NPI
1073120093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11007400)
Enumeration Date
2020-09-24
Last Update Date
2021-11-23
Business Address
KAILEY A WICKENS APRN
5130 SUNFOREST DR STE 300
TAMPA, FL 33634-6327
Phone number: 727-824-0780
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Mailing Address
KAILEY A WICKENS APRN
5130 SUNFOREST DR STE 300
TAMPA, FL 33634-6327
Phone number: 727-824-0780
Copy
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