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1518425131
SHINUMOL SABU
MOUNT DORA, FL
NPI
1518425131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11001435)
Enumeration Date
2019-03-04
Last Update Date
2021-02-21
Business Address
SHINUMOL SABU APRN
19015 US HIGHWAY 441
MOUNT DORA, FL 32757-6708
Phone number: 352-383-3484
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Mailing Address
SHINUMOL SABU APRN
19015 US HIGHWAY 441
MOUNT DORA, FL 32757-6708
Phone number: 352-383-3484
Copy
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