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1144903428
VASHAWN THERESA IRELAND
TAMARAC, FL
NPI
1144903428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11028055)
Enumeration Date
2023-08-11
Last Update Date
2023-08-11
Business Address
Ms. VASHAWN THERESA IRELAND FNP-BC
9522 NW 65TH ST
TAMARAC, FL 33321-3550
Phone number: 954-552-3495
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Mailing Address
Ms. VASHAWN THERESA IRELAND FNP-BC
9522 NW 65TH ST
TAMARAC, FL 33321-3550
Phone number: 954-552-3495
Copy
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