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1174148472
JOHAN KOUTOUBY
TAMPA, FL
NPI
1174148472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11007517)
Enumeration Date
2020-06-11
Last Update Date
2023-11-06
Business Address
JOHAN KOUTOUBY
4710 N HABANA AVE STE 405
TAMPA, FL 33614-7152
Phone number: 813-444-3204
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Mailing Address
JOHAN KOUTOUBY
4710 N HABANA AVE STE 405
TAMPA, FL 33614-7152
Phone number:
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