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1861127342
AUTUMN CROSS
TAMPA, FL
NPI
1861127342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: FL 9582366)
Enumeration Date
2022-07-19
Last Update Date
2023-09-14
Business Address
AUTUMN CROSS
3100 E FLETCHER AVE
TAMPA, FL 33613-4613
Phone number: 813-510-7645
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Mailing Address
AUTUMN CROSS
14606 BRENTWOOD PL
TAMPA, FL 33618-2014
Phone number: 813-510-7645
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