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1184440646
JANICE CHANECO IPO
TAMPA, FL
NPI
1184440646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11036571)
Enumeration Date
2024-12-02
Last Update Date
2024-12-02
Business Address
JANICE CHANECO IPO PMHNP-BC
20769 GREAT LAUREL AVE
TAMPA, FL 33647-3278
Phone number: 813-564-6985
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Mailing Address
JANICE CHANECO IPO PMHNP-BC
20769 GREAT LAUREL AVE
TAMPA, FL 33647-3278
Phone number:
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