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1811776610
STEPHANIE ALFONSO-EVANS
HOLLYWOOD, FL
NPI
1811776610
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Former Name
STEPHANIE KOONTZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: FL Aprn11028206)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
STEPHANIE ALFONSO-EVANS Acnpc-AG
7770 DAVIE ROAD EXT
HOLLYWOOD, FL 33024-2516
Phone number: 954-450-1808
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Mailing Address
STEPHANIE ALFONSO-EVANS Acnpc-AG
5120 THE OAKS CIR
ORLANDO, FL 32809-3051
Phone number: 786-564-0063
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