IVAN KIRK

BRANDON, FL
NPI1801077318
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN 5179474)
Enumeration Date2007-11-27
Last Update Date2007-11-27
Business Address
Mr. IVAN KIRK LPN
1604 FLUORSHIRE DR
BRANDON, FL 33511-9393
Phone number: 813-746-4619
Mailing Address
Mr. IVAN KIRK LPN
1604 FLUORSHIRE DR
BRANDON, FL 33511-9393
Phone number: 813-746-4619
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