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1285249714
PHENISE JEAN
HOLLYWOOD, FL
NPI
1285249714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 11008959)
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
Ms. PHENISE JEAN Nurse Practitioner
7230 ALLEN DR
HOLLYWOOD, FL 33024-7150
Phone number: 813-325-1399
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Mailing Address
Ms. PHENISE JEAN Nurse Practitioner
7230 ALLEN DR
HOLLYWOOD, FL 33024-7150
Phone number: 813-325-1399
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