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1699251959
DEVORA DIONNE FEDRICK
RIVERVIEW, FL
NPI
1699251959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: FL ARNP9411595)
Enumeration Date
2018-07-19
Last Update Date
2021-06-08
Business Address
DEVORA DIONNE FEDRICK
3140 S FALKENBURG RD
RIVERVIEW, FL 33578-2574
Phone number: 813-660-7150
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Mailing Address
DEVORA DIONNE FEDRICK
3140 S FALKENBURG RD
RIVERVIEW, FL 33578-2574
Phone number: 813-660-7150
Copy
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