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1679024087
CANDACE BROOKE BOONE DEBERRY
TAMPA, FL
NPI
1679024087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9233668)
Enumeration Date
2016-10-20
Last Update Date
2020-06-23
Business Address
Mrs. CANDACE BROOKE BOONE DEBERRY ARNP
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607-6307
Phone number: 813-554-8387
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Mailing Address
Mrs. CANDACE BROOKE BOONE DEBERRY ARNP
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607-6307
Phone number: 813-554-8387
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