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1912365016
LACIE BURLESON
TAMPA, FL
NPI
1912365016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: FL ARNP9278784)
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
-- LACIE BURLESON ARNP
4129 N ARMENIA AVE
TAMPA, FL 33607-6436
Phone number: 813-879-3699
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Mailing Address
-- LACIE BURLESON ARNP
4129 N ARMENIA AVE
TAMPA, FL 33607-6436
Phone number: 813-879-3699
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