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1962982207
AZEEZAT FASHOLA
LUTZ, FL
NPI
1962982207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9330713)
Enumeration Date
2018-08-16
Last Update Date
2018-11-20
Business Address
AZEEZAT FASHOLA NP
18956 N DALE MABRY HWY STE 102
LUTZ, FL 33548-4915
Phone number: 813-948-8597
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Mailing Address
AZEEZAT FASHOLA NP
18956 N DALE MABRY HWY STE 102
LUTZ, FL 33548-4915
Phone number: 813-948-8597
Copy
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