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1508029935
RAISA I RAFALOVICH
TAMPA, FL
NPI
1508029935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL ARNP3354792)
Enumeration Date
2008-07-07
Last Update Date
2008-07-07
Business Address
-- RAISA I RAFALOVICH ARNP
4730 N HABANA AVE 114
TAMPA, FL 33614-7163
Phone number: 813-872-4492
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Mailing Address
-- RAISA I RAFALOVICH ARNP
5501 W GRAY ST
TAMPA, FL 33609-1007
Phone number: 813-872-4492
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