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1154910149
EBONIE PUERTOS
TAMPA, FL
NPI
1154910149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL RN9501623)
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
EBONIE PUERTOS RN
4100 E FLETCHER AVE
TAMPA, FL 33613-4864
Phone number: 813-977-4950
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Mailing Address
EBONIE PUERTOS RN
4735 SOUTHBREEZE DR
TAMPA, FL 33624-1633
Phone number:
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