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1699430173
TAILY ALONSO
LAKE CITY, FL
NPI
1699430173
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Former Name
TAILY ALONSO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11016339)
Enumeration Date
2021-11-01
Last Update Date
2023-06-22
Business Address
TAILY ALONSO APRN
4241 NW AMERICAN LN
LAKE CITY, FL 32055-4881
Phone number: 386-288-5311
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Mailing Address
TAILY ALONSO APRN
4241 NW AMERICAN LN
LAKE CITY, FL 32055-4881
Phone number: 386-288-5311
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