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1972380590
KELLY DIAZ-VAZQUEZ
LADY LAKE, FL
NPI
1972380590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11027606)
Enumeration Date
2023-09-08
Last Update Date
2023-10-18
Business Address
KELLY DIAZ-VAZQUEZ APRN
8550 NE 138TH LN BLDG 500
LADY LAKE, FL 32159-8957
Phone number: 352-633-9858
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Mailing Address
KELLY DIAZ-VAZQUEZ APRN
8550 NE 138TH LN BLDG 500
LADY LAKE, FL 32159-8957
Phone number: 352-333-9858
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