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1376807446
SENIORELITE LLC
TAMPA, FL
NPI
1376807446
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Entity Type
Organization
Authorized Contact
VIVIENNE ANN EVANS
President
813-482-1743
Organization Subpart ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
Enumeration Date
2012-07-03
Last Update Date
2012-07-03
Business Address
SENIORELITE LLC
14902 WINDING CREEK CT STE 105C
TAMPA, FL 33613-1640
Phone number: 813-482-1743
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Mailing Address
SENIORELITE LLC
14902 WINDING CREEK CT STE 105C
TAMPA, FL 33613-1640
Phone number: 813-482-1743
Copy
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