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1346766532
SOPOURIA KEYSHUN HARRIS
TALLAHASSEE, FL
NPI
1346766532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5213118)
Enumeration Date
2017-08-18
Last Update Date
2022-07-21
Business Address
SOPOURIA KEYSHUN HARRIS
4500 AUTUMN WOODS WAY
TALLAHASSEE, FL 32303-6935
Phone number: 850-491-8969
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Mailing Address
SOPOURIA KEYSHUN HARRIS
4500 AUTUMN WOODS WAY
TALLAHASSEE, FL 32303-6935
Phone number: 850-491-8969
Copy
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