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1245957091
LEISA JAMINE HOSPEDALES
LAKELAND, FL
NPI
1245957091
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Former Name
LEISA JAMINE SMALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL APRN11021939)
Enumeration Date
2022-10-24
Last Update Date
2023-08-28
Business Address
Ms. LEISA JAMINE HOSPEDALES AGPCNP-BC
135 E 1ST ST
LAKELAND, FL 33805-4609
Phone number: 863-686-2728
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Mailing Address
Ms. LEISA JAMINE HOSPEDALES AGPCNP-BC
15118 EVANS RANCH RD
LAKELAND, FL 33809-9714
Phone number: 863-510-8225
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