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1154881027
THERESA LUPE
ORLANDO, FL
NPI
1154881027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11001232)
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
THERESA LUPE MSN, PMHNP-BC
7000 H C KELLEY RD
ORLANDO, FL 32831-2521
Phone number: 407-207-7777
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Mailing Address
THERESA LUPE MSN, PMHNP-BC
2230 MICHIGAN ST
MELBOURNE, FL 32904-6131
Phone number: 321-271-0503
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