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1255001418
JUSTIN CHRISTOPHER TANK
BROOKSVILLE, FL
NPI
1255001418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: FL 11014573)
Enumeration Date
2021-09-17
Last Update Date
2021-09-17
Business Address
JUSTIN CHRISTOPHER TANK
3372 SPRING PARK WAY
BROOKSVILLE, FL 34604-8108
Phone number: 352-232-0932
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Mailing Address
JUSTIN CHRISTOPHER TANK
3372 SPRING PARK WAY
BROOKSVILLE, FL 34604-8108
Phone number: 352-232-0932
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