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1114188604
LISA MARIE POLHAMUS
ST PETERSBURG, FL
NPI
1114188604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: FL ARNP9481675)
Enumeration Date
2008-06-18
Last Update Date
2018-06-20
Business Address
Ms. LISA MARIE POLHAMUS NNP
501 6TH AVE S
ST PETERSBURG, FL 33701
Phone number: 727-767-4313
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Mailing Address
Ms. LISA MARIE POLHAMUS NNP
501 6TH AVE S
ST PETERSBURG, FL 33701-4634
Phone number: 727-767-4313
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