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1104911445
CHUT TRUONG FARIS
GAINESVILLE, FL
NPI
1104911445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 9174020)
Enumeration Date
2006-10-03
Last Update Date
2012-01-26
Business Address
Mrs. CHUT TRUONG FARIS ARNP
1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
Phone number: 352-376-1611
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Mailing Address
Mrs. CHUT TRUONG FARIS ARNP
4033 NW 59TH AVENUE
GAINESVILLE, FL 32653-7147
Phone number: 352-331-0126
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