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1518355478
IDANIA LISSETTE ETTIENNE
BRANDON, FL
NPI
1518355478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9211883)
Enumeration Date
2014-12-30
Last Update Date
2022-08-23
Business Address
Mrs. IDANIA LISSETTE ETTIENNE ARNP
907 N PARSONS AVE
BRANDON, FL 33510-3107
Phone number: 813-689-8020
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Mailing Address
Mrs. IDANIA LISSETTE ETTIENNE ARNP
6806 BLOOMFIELD GROVE PL
SEFFNER, FL 33584-2522
Phone number: 813-418-0717
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