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1457928491
GO GROW LIVE, LLC
TAMPA, FL
NPI
1457928491
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Entity Type
Organization
Authorized Contact
ERICA HAND
CEO
813-407-6074
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
GO GROW LIVE, LLC
12015 WHITMARSH LN
TAMPA, FL 33626-1737
Phone number: 813-587-0605
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Mailing Address
GO GROW LIVE, LLC
12114 RUSTIC RIVER WAY
TAMPA, FL 33635-9534
Phone number:
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