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1790149391
JENNIFER LANE
HUDSON, FL
NPI
1790149391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9294413)
Enumeration Date
2016-04-09
Last Update Date
2016-04-09
Business Address
-- JENNIFER LANE
7529 MEDICAL DR
HUDSON, FL 34667-6502
Phone number: 727-862-6524
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Mailing Address
-- JENNIFER LANE
611 FATHOM CT
TAMPA, FL 33602-5796
Phone number: 813-477-9885
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