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1669069951
WAYNE CRAIG LOVE
ST PETERSBURG, FL
NPI
1669069951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL 11006563)
Enumeration Date
2020-12-21
Last Update Date
2020-12-21
Business Address
WAYNE CRAIG LOVE
625 6TH AVE S
ST PETERSBURG, FL 33701-4662
Phone number: 727-498-8994
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Mailing Address
WAYNE CRAIG LOVE
1001 45TH ST N
ST PETERSBURG, FL 33713-5215
Phone number: 727-515-8590
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