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1720774151
ALTAVIA EVANS
TRINITY, FL
NPI
1720774151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11022177)
Enumeration Date
2023-04-18
Last Update Date
2023-12-15
Business Address
ALTAVIA EVANS
3539 LITTLE RD
TRINITY, FL 34655-1811
Phone number: 727-846-9419
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Mailing Address
ALTAVIA EVANS
5400 PINEHURST DR
SPRING HILL, FL 34606-3833
Phone number: 352-277-5348
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