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1821300062
LISA DEWITT
TAMPA, FL
NPI
1821300062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA RN189269 NP)
Enumeration Date
2010-07-03
Last Update Date
2010-07-03
Business Address
Mrs. LISA DEWITT APRN
12425 RACE TRACK RD SUITE NUMBER 100
TAMPA, FL 33626-3102
Phone number: 800-659-1522
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Mailing Address
Mrs. LISA DEWITT APRN
12425 RACE TRACK RD SUITE NUMBER 100
TAMPA, FL 33626-3102
Phone number: 800-659-1522
Copy
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