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1700348497
JULIAN LEONIE BASSARAGH
KISSIMMEE, FL
NPI
1700348497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11011034)
Enumeration Date
2019-04-02
Last Update Date
2023-06-21
Business Address
JULIAN LEONIE BASSARAGH APRN
2546 SIMPSON ROAD
KISSIMMEE, FL 34744
Phone number: 407-632-4217
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Mailing Address
JULIAN LEONIE BASSARAGH APRN
PO BOX 4189
DEERFIELD BEACH, FL 33442-4189
Phone number: 954-363-9582
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