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1699268441
ALFRED IZELL RUSH
TAMPA, FL
NPI
1699268441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9260658)
Enumeration Date
2018-06-07
Last Update Date
2019-12-18
Business Address
ALFRED IZELL RUSH Nurse Practitioner
909 E 20TH AVE
TAMPA, FL 33605-2548
Phone number: 727-288-8036
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Mailing Address
ALFRED IZELL RUSH Nurse Practitioner
909 E 20TH AVE
TAMPA, FL 33605-2548
Phone number: 727-822-3544
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