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1477969665
BEVERLY BROADNAX
SAINT PETERSBURG, FL
NPI
1477969665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN142291)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
-- BEVERLY BROADNAX
2814 EDWARDS AVE S
SAINT PETERSBURG, FL 33705-3653
Phone number: 727-642-6894
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Mailing Address
-- BEVERLY BROADNAX
2814 EDWARDS AVE S
SAINT PETERSBURG, FL 33705-3653
Phone number: 727-642-6894
Copy
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