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1578300190
TRISHA PHOUPARDIT
LONGWOOD, FL
NPI
1578300190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11033913)
Enumeration Date
2024-07-11
Last Update Date
2024-07-11
Business Address
TRISHA PHOUPARDIT
555 W STATE ROAD 434
LONGWOOD, FL 32750-5119
Phone number: 407-767-1200
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Mailing Address
TRISHA PHOUPARDIT
1 LOUIE B NUNN DR
NEWPORT, KY 41099-9992
Phone number:
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