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1407202419
KORTO TAWSE-BUTHA
PENSACOLA, FL
NPI
1407202419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL TRN 22910)
Enumeration Date
2016-05-09
Last Update Date
2016-05-09
Business Address
-- KORTO TAWSE-BUTHA MD
1657 TRINITY DR
PENSACOLA, FL 32504-5708
Phone number: 850-416-7710
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Mailing Address
-- KORTO TAWSE-BUTHA MD
1657 TRINITY DR
PENSACOLA, FL 32504-5708
Phone number: 850-416-7710
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