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1164203055
TABATHA NICOLE SAMS
TEMPLE TERRACE, FL
NPI
1164203055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11027862)
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
TABATHA NICOLE SAMS
13324 TELECOM DR
TEMPLE TERRACE, FL 33637-0938
Phone number: 813-812-8041
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Mailing Address
TABATHA NICOLE SAMS
13324 TELECOM DR
TEMPLE TERRACE, FL 33637-0938
Phone number: 813-812-8041
Copy
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