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1245537489
THANH TANA LE
CRESTVIEW, FL
NPI
1245537489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11029144)
Enumeration Date
2011-02-24
Last Update Date
2024-04-16
Business Address
THANH TANA LE APRN
127 E REDSTONE AVE STE C
CRESTVIEW, FL 32539-5356
Phone number: 850-423-0061
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Mailing Address
THANH TANA LE APRN
127 E REDSTONE AVE STE C
CRESTVIEW, FL 32539-5356
Phone number: 850-423-0061
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