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1962481127
TERRY JOE DECLUE
TAMPA, FL
NPI
1962481127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: FL ME0044882)
Enumeration Date
2006-01-16
Last Update Date
2007-07-08
Business Address
-- TERRY JOE DECLUE M.D.
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607-6307
Phone number: 813-554-8420
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Mailing Address
-- TERRY JOE DECLUE M.D.
11107 WINTHROP WAY
TAMPA, FL 33612-6506
Phone number: 813-870-4837
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