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1295123842
VIVIAN POWTAKIEN
SUNRISE, FL
NPI
1295123842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9269305)
Enumeration Date
2015-01-06
Last Update Date
2015-01-06
Business Address
-- VIVIAN POWTAKIEN ARNP
11540 NW 29TH PL
SUNRISE, FL 33323-1637
Phone number: 954-541-2425
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Mailing Address
-- VIVIAN POWTAKIEN ARNP
11542 NW 29TH PL
SUNRISE, FL 33323
Phone number: 954-465-5227
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