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1851917967
CRISTINA BROCK DE JESUS
TAMPA, FL
NPI
1851917967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL APRN11004622)
Enumeration Date
2020-06-24
Last Update Date
2020-06-24
Business Address
Miss CRISTINA BROCK DE JESUS APRN
3250 ZEMKE AVE
TAMPA, FL 33621-5023
Phone number: 813-828-2273
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Mailing Address
Miss CRISTINA BROCK DE JESUS APRN
3250 ZEMKE AVE
TAMPA, FL 33621-5023
Phone number: 813-828-2273
Copy
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