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1740499870
LISEBERTHE THEODORE
MIAMI, FL
NPI
1740499870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 2527672)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Ms. LISEBERTHE THEODORE Arnp
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 786-466-4009
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Mailing Address
Ms. LISEBERTHE THEODORE Arnp
PO BOX 822433
SOUTH FLORIDA, FL 33082-2433
Phone number: 305-318-0642
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