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1851540728
HEATHER MARIE PONALL
TAMPA, FL
NPI
1851540728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9200004)
Enumeration Date
2008-09-16
Last Update Date
2019-06-26
Business Address
Mrs. HEATHER MARIE PONALL APRN
3910 NORTHDALE BLVD STE 206
TAMPA, FL 33624
Phone number: 813-264-7922
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Mailing Address
Mrs. HEATHER MARIE PONALL APRN
5139 KARLSBURG PL
PALM HARBOR, FL 34685-3619
Phone number: 727-644-1388
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