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1831780014
PORSCHA SHANTELL KIMBRO
ORANGE CITY, FL
NPI
1831780014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11007402)
Enumeration Date
2021-01-29
Last Update Date
2021-01-29
Business Address
PORSCHA SHANTELL KIMBRO ARNP
1043 TOWN CENTER DR
ORANGE CITY, FL 32763-8360
Phone number: 386-774-0188
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Mailing Address
PORSCHA SHANTELL KIMBRO ARNP
3030 GALAXY ST
DELTONA, FL 32738-7216
Phone number: 407-574-1776
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