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1083214969
MARISA IRIS VASQUEZ
TAMPA, FL
NPI
1083214969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11009719)
Enumeration Date
2020-10-29
Last Update Date
2021-10-12
Business Address
MARISA IRIS VASQUEZ APRN
7171 N DALE MABRY HWY
TAMPA, FL 33614-2665
Phone number: 813-558-9518
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Mailing Address
MARISA IRIS VASQUEZ APRN
6303 MAGNOLIA PARK BLVD
RIVERVIEW, FL 33578-8674
Phone number: 813-690-0372
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