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1730481326
IN HOME PRIMARY CARE PROVIDER, LLC
ZEPHYRHILLS, FL
NPI
1730481326
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Entity Type
Organization
Authorized Contact
IRIS C BRACKEN
Owner
813-406-1925
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 2078202)
Enumeration Date
2010-12-02
Last Update Date
2010-12-02
Business Address
IN HOME PRIMARY CARE PROVIDER, LLC
5545 MARIE DR
ZEPHYRHILLS, FL 33541-1913
Phone number: 813-406-1925
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Mailing Address
IN HOME PRIMARY CARE PROVIDER, LLC
5545 MARIE DR
ZEPHYRHILLS, FL 33541-1913
Phone number: 813-406-1925
Copy
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