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1417653247
AUTUMN NGUYEN MOON
TAMPA, FL
NPI
1417653247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11023088)
Enumeration Date
2023-02-02
Last Update Date
2023-10-24
Business Address
AUTUMN NGUYEN MOON APRN
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 888-663-3488
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Mailing Address
AUTUMN NGUYEN MOON APRN
10928 LYNN LAKE CIR
TAMPA, FL 33625-5913
Phone number: 404-514-3155
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