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1427681410
PAULA SURYANI WIBOWO
LAKELAND, FL
NPI
1427681410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11006209)
Enumeration Date
2020-02-18
Last Update Date
2023-11-27
Business Address
PAULA SURYANI WIBOWO APRN
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3019
Phone number: 863-680-7490
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Mailing Address
PAULA SURYANI WIBOWO APRN
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3065
Phone number: 863-680-7000
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