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1598457103
SHANTE HEATLY
SAINT PETERSBURG, FL
NPI
1598457103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: FL 11026421)
Enumeration Date
2023-05-23
Last Update Date
2023-05-23
Business Address
SHANTE HEATLY APRN
1200 7TH AVE N
SAINT PETERSBURG, FL 33705-1300
Phone number: 727-825-1065
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Mailing Address
SHANTE HEATLY APRN
547 28TH ST S
SAINT PETERSBURG, FL 33712-1526
Phone number: 727-687-5558
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