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1275994683
RENI GRACE PULLUKAT
LAKELAND, FL
NPI
1275994683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP 9203330)
Enumeration Date
2016-03-11
Last Update Date
2022-07-20
Business Address
Mrs. RENI GRACE PULLUKAT
2815 LAKELAND HILLS BLVD
LAKELAND, FL 33805-2224
Phone number: 863-284-5000
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Mailing Address
Mrs. RENI GRACE PULLUKAT
1324 LAKELAND HILLS BLVD ATTN: MANAGED CARE DEPT
LAKELAND, FL 33805-4543
Phone number:
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