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1568001774
THEAVA ISMARELLA PRESTON
LAKELAND, FL
NPI
1568001774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11004333)
Enumeration Date
2020-01-06
Last Update Date
2023-09-29
Business Address
THEAVA ISMARELLA PRESTON APRN
5010 S FLORIDA AVE
LAKELAND, FL 33813-2510
Phone number: 866-389-2727
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Mailing Address
THEAVA ISMARELLA PRESTON APRN
5010 S FLORIDA AVE
LAKELAND, FL 33813-2510
Phone number: 866-389-2727
Copy
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