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1801652151
SHINY JOSEPH
LEESBURG, FL
NPI
1801652151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11031448)
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
Mrs. SHINY JOSEPH
600 E DIXIE AVE
LEESBURG, FL 34748-5925
Phone number: 352-323-4095
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Mailing Address
Mrs. SHINY JOSEPH
30405 TOKARA TER
MOUNT DORA, FL 32757-7882
Phone number: 352-408-5704
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