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1427142371
KATHLEEN SUE FASNACHT
TAMPA, FL
NPI
1427142371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL 1633852)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Ms. KATHLEEN SUE FASNACHT ARNP
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33604
Phone number: 813-972-2000
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Mailing Address
Ms. KATHLEEN SUE FASNACHT ARNP
8511 NORTH 29TH STREET
TAMPA, FL 33604-2206
Phone number: 813-841-5892
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