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1497394738
DENISE THAXTER
LAKELAND, FL
NPI
1497394738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11004251)
Enumeration Date
2020-01-03
Last Update Date
2020-01-07
Business Address
DENISE THAXTER
3262 PEBBLEBROOKE BLVD
LAKELAND, FL 33810-1305
Phone number: 863-853-6325
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Mailing Address
DENISE THAXTER
3262 PEBBLEBROOKE BLVD
LAKELAND, FL 33810-1305
Phone number: 863-853-6325
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