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1699378307
LATRAILLE DENISE GREEN
TAMPA, FL
NPI
1699378307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
LATRAILLE DENISE GREEN P.C.T
4014 E HENRY AVE
TAMPA, FL 33610-3820
Phone number: 813-720-1471
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Mailing Address
LATRAILLE DENISE GREEN P.C.T
4014 E HENRY AVE
TAMPA, FL 33610-3820
Phone number: 813-720-1471
Copy
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