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1356815617
LOURDY P TANIS
SEBRING, FL
NPI
1356815617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP-925656571)
Enumeration Date
2019-01-18
Last Update Date
2019-01-18
Business Address
LOURDY P TANIS APRN
7195 S GEORGE BLVD FL 33875
SEBRING, FL 33875-5823
Phone number: 863-304-8838
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Mailing Address
LOURDY P TANIS APRN
3405 NW FEDERAL HWY
JENSEN BEACH, FL 34957-4439
Phone number: 772-692-8082
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