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1427068196
KWISA O DAVIS
TAMPA, FL
NPI
1427068196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME91503)
Enumeration Date
2006-08-08
Last Update Date
2012-06-19
Business Address
-- KWISA O DAVIS MD
7108 N NEBRASKA AVE
TAMPA, FL 33604-4915
Phone number: 813-239-3262
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Mailing Address
-- KWISA O DAVIS MD
PO BOX 152557
TAMPA, FL 33684-2557
Phone number: 813-239-3262
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