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1114912508
SUSAN LEE GRYDER
TAMPA, FL
NPI
1114912508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP3010512)
Enumeration Date
2005-09-13
Last Update Date
2007-07-08
Business Address
-- SUSAN LEE GRYDER A.R.N.P.
1202 TECH BLVD STE 100
TAMPA, FL 33619-7871
Phone number: 813-620-0026
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Mailing Address
-- SUSAN LEE GRYDER A.R.N.P.
1202 TECH BLVD STE 100
TAMPA, FL 33619-7871
Phone number: 813-620-0026
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