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1124176573
LINDA LEE PROUGH
COCOA, FL
NPI
1124176573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: FL pn1228881)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- LINDA LEE PROUGH LPN
3905 GRISSOM PKWY
COCOA, FL 32926-3669
Phone number: 321-637-1866
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Mailing Address
-- LINDA LEE PROUGH LPN
4920 CANGRO ST
COCOA, FL 32926-2227
Phone number: 321-639-0929
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