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1396483277
EBONY TANAE FARRIS
PENSACOLA, FL
NPI
1396483277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 208555)
Enumeration Date
2022-05-22
Last Update Date
2024-11-22
Business Address
EBONY TANAE FARRIS FNP
6000 W HIGHWAY 98
PENSACOLA, FL 32512-5105
Phone number: 850-452-5638
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Mailing Address
EBONY TANAE FARRIS FNP
5225 AUGUSTA DR
MARRERO, LA 70072-6811
Phone number: 504-450-3647
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