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1851589030
DEVAN C. WALICEK
TAMPA, FL
NPI
1851589030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL ARNP 9252149)
Enumeration Date
2007-10-12
Last Update Date
2015-05-27
Business Address
-- DEVAN C. WALICEK ARNP
3222 W AZEELE ST
TAMPA, FL 33609-3280
Phone number: 813-872-8491
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Mailing Address
-- DEVAN C. WALICEK ARNP
4033 TAMPA RD SUITE 101
OLDSMAR, FL 34677-3224
Phone number: 813-854-2003
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