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1558057653
ANNA PETROVNA POLOVNEVA
TAMPA, FL
NPI
1558057653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11021391)
Enumeration Date
2023-04-12
Last Update Date
2023-04-12
Business Address
ANNA PETROVNA POLOVNEVA APRN
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-4673
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Mailing Address
ANNA PETROVNA POLOVNEVA APRN
31049 HARPER BRANCH PL
WESLEY CHAPEL, FL 33543-7124
Phone number: 786-399-8493
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