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1184213167
ADRIENNE LISA GRAHAM
LUTZ, FL
NPI
1184213167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11010827)
Enumeration Date
2021-01-13
Last Update Date
2021-02-11
Business Address
ADRIENNE LISA GRAHAM FNP
21758 STATE ROAD 54
LUTZ, FL 33549-6921
Phone number: 813-563-6070
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Mailing Address
ADRIENNE LISA GRAHAM FNP
21758 STATE ROAD 54
LUTZ, FL 33549-6921
Phone number: 813-563-6070
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