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1336363548
BERTHA PROSPER
WEST PALM BEACH, FL
NPI
1336363548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN 5163127)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
-- BERTHA PROSPER
5716 AZALEA CIR
WEST PALM BEACH, FL 33415-4468
Phone number: 561-687-4938
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Mailing Address
-- BERTHA PROSPER
5716 AZALEA CIR
WEST PALM BEACH, FL 33415-4468
Phone number:
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