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1164158739
JENNA GALLAS
TAMPA, FL
NPI
1164158739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11020791)
Enumeration Date
2022-07-26
Last Update Date
2022-11-14
Business Address
JENNA GALLAS APRN
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 888-663-3488
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Mailing Address
JENNA GALLAS APRN
PO BOX 198441
ATLANTA, GA 30384-8441
Phone number:
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