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1194284778
SHANEQUA R SMITH
PLANTATION, FL
NPI
1194284778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN9349602)
Enumeration Date
2019-03-13
Last Update Date
2023-07-25
Business Address
SHANEQUA R SMITH APRN
6971 W SUNRISE BLVD STE 102
PLANTATION, FL 33313-4407
Phone number: 954-791-0711
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Mailing Address
SHANEQUA R SMITH APRN
8060 NW 96TH TER APT 203
TAMARAC, FL 33321-1360
Phone number: 786-879-5843
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