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1205126745
TATIANA PASSE
LAUDERDALE LAKES, FL
NPI
1205126745
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Former Name
TATIANA PASSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9235770)
Enumeration Date
2011-04-18
Last Update Date
2011-04-18
Business Address
Ms. TATIANA PASSE
3001 N STATE ROAD 7
LAUDERDALE LAKES, FL 33313-1913
Phone number: 954-733-7473
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Mailing Address
Ms. TATIANA PASSE
6301 NW 52ND ST
CORAL SPRINGS, FL 33067-2150
Phone number:
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