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1730869157
KELLIE VASAN
TAMPA, FL
NPI
1730869157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11007720)
Enumeration Date
2023-07-20
Last Update Date
2023-07-20
Business Address
KELLIE VASAN APRN
4730 N HABANA AVE STE 104
TAMPA, FL 33614-7165
Phone number: 813-531-8550
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Mailing Address
KELLIE VASAN APRN
4402 W AZEELE ST
TAMPA, FL 33609-2613
Phone number:
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