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1083620025
KATHRYN HOUSE FANNING
TAMPA, FL
NPI
1083620025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 2091032)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Mrs. KATHRYN HOUSE FANNING A.R.N.P.
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612-9209
Phone number: 813-977-8700
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Mailing Address
Mrs. KATHRYN HOUSE FANNING A.R.N.P.
9086 QUAIL CREEK DR
TAMPA, FL 33647-2229
Phone number: 813-973-3140
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