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1306577101
LYSTRA CHANG
TAMARAC, FL
NPI
1306577101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: FL APRN11019338)
Enumeration Date
2022-06-22
Last Update Date
2022-06-22
Business Address
LYSTRA CHANG APRN
7201 N UNIVERSITY DR
TAMARAC, FL 33321-2913
Phone number: 954-724-6143
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Mailing Address
LYSTRA CHANG APRN
4120 WOODSIDE DR APT S
CORAL SPRINGS, FL 33065-1908
Phone number: 954-376-0035
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