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1093814964
JILL MASSENGALE
TAMPA, FL
NPI
1093814964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: FL ARNP9184657)
Enumeration Date
2006-09-21
Last Update Date
2009-05-26
Business Address
JILL MASSENGALE A.R.N.P
11663 COUNTRYWAY BLVD
TAMPA, FL 33626-2739
Phone number: 813-891-6310
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Mailing Address
JILL MASSENGALE A.R.N.P
13000 BRUCE B DOWNS BLVD (117)
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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