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1508151838
REGINA L SODERBERG
BRADENTON, FL
NPI
1508151838
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Former Name
REGINA LYDON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN9165396)
Enumeration Date
2011-06-15
Last Update Date
2022-07-15
Business Address
REGINA L SODERBERG ARNP
3914 E STATE ROAD 64
BRADENTON, FL 34208-9059
Phone number: 941-216-3800
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Mailing Address
REGINA L SODERBERG ARNP
8619 AMEN CORNER PL
PALMETTO, FL 34221-8483
Phone number: 727-543-6277
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